Individual provider Active NPI

Bethanie Barth, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1235525064
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059333 Issued in TX
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

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150617000447 GA Practitioner - Nurse Practitioner 2062723026 Reassigns benefits to 1 organization
I20251203004053 TX Practitioner - Nurse Practitioner 2062723026 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1059333TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Medical Care, LLC CurrentSince Nov 1, 2025 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Apr 4, 2015 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.

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

Verify at the official NPI Registry.