Destinee Baham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1107113 Issued in TX

Practice address

7515 Main St Ste 400
Houston, TX 77030-4553

Phone

(713) 750-9607

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1407589401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304553",
            "telephone_number": "832-492-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304553",
            "telephone_number": "713-750-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAM",
        "first_name": "DESTINEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1107113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENCE",
            "identifier": "1107113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya C Bagwell, DPT
• Robert T. Bagwell, MD
• Ismael Bah, MD
• Bahadur Sarkari MD F a a C a P PSC
• Cristina Baham, MS, BCBA, LBA
• Freda Marie Baham, D.C.
• Yunaka Baham, RN
• Bahar Immunization Center LLC
• Bahar Therapy & Counseling LLC
• Giti Olfat Bahar

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.