Active NPI
Bethanie Barth, FNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1059333
- Practice address
- 10107 Louetta Rd Ste 105
Houston, TX 77070-1574 - Phone
- (210) 992-2654
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1059333 | TX | Primary |
Addresses
Primary practice location
10107 Louetta Rd Ste 105
Houston, TX 77070-1574
Mailing address
10107 Louetta Rd Ste 105
Houston, TX 77070-1574
Phone (210) 992-2654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10107 Louetta Rd
Suite 105
Houston, TX 77070-1574
21303 50TH Ave W
Mountlake Terrace, WA 98043-3359
2413 Wiregrass Dr
McKinney, TX 75071-8516
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059333 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Medical Care, LLC | Current | Accepting new patients | |
| Cooperative Healthcare Services Inc | Current | Accepting new patients |
Locations
3222 Shrine Rd
Ste A
Brunswick, GA 31520
Phone (912) 264-6303
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
10107 Louetta Rd
Ste 105
Houston, TX 77070
Phone (210) 992-2654
340 N Sam Houston Pkwy E
Ste 205
Houston, TX 77060
Phone (210) 992-2654
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Houston, TX
- NPI 1497451884
-
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1235525064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10107 LOUETTA RD STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701574",
"telephone_number": "210-992-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10107 LOUETTA RD STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701574",
"telephone_number": "210-992-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "BETHANIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1059333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.