Active NPI
Mysti Blu Nursing, Inc.
- Home Infusion Agency
- Carrollton, TX
National Provider Identifier
1336005883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- MYSTI BLU NURSING, INC.
- Practice address
- 2459 East Hebron Pkwy
Suite 130
Carrollton, TX 75010 - Phone
- (972) 522-9799
- Fax
- (469) 546-9723
- NPI assigned
- Dec 29, 2025
- Last updated
- Dec 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerria Bernestine, FNP-C
- Title
- Owner
- Phone
- (972) 522-9799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
2459 East Hebron Pkwy
Suite 130
Carrollton, TX 75010
Mailing address
2459 E Hebron Pkwy Ste 130
Carrollton, TX 75010-4477
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Carrollton, TX
- NPI 1578024931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766966400000",
"number": "1336005883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2459 E HEBRON PKWY STE 130",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 EAST HEBRON PKWY",
"address_2": "SUITE 130",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-522-9799",
"fax_number": "469-546-9723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYSTI BLU NURSING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-27",
"status": "A",
"authorized_official_last_name": "BERNESTINE",
"authorized_official_first_name": "JERRIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-522-9799",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.