Organization Active NPI

Mysti Blu Nursing, Inc.

  • Home Infusion Agency
  • Carrollton, TX
National Provider Identifier
1336005883
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Jerria Bernestine, FNP-CNPI 1578024931
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.