Bougie and Beautified Luxury Med Spa and Primary Care Services PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC

Practice address

1902 John Stockbauer Dr Ste 300
Victoria, TX 77901-3797

Phone

(361) 308-9311

Fax

(844) 483-1957

NPI assigned

Apr 20, 2026

Organization subpart

No

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

Authorized official

Name

Yvette Barrera, FNP-CNPI 1184510026

Title

Nurse Practitioner/Owner

Phone

(361) 308-9311

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Barrera

  • Family Nurse Practitioner
  • Victoria, TX
  • NPI 1184510026
  NPD Authorized official

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1487599379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JOHN STOCKBAUER DR STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013797",
            "telephone_number": "361-308-9311",
            "fax_number": "844-483-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JOHN STOCKBAUER DR STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013797",
            "telephone_number": "361-308-9311",
            "fax_number": "844-483-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "361-308-9311",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina A Boothe, OTR
• George Theodore Boozalis, M.D.
• Stacie Linae Borchert
• Sayra Joyce Borden
• Manuel De Jesus Borrell Quinones, SA-C
• John Bouras, M.D.
• Michael J Bouthillette, MD
• Sean H Bowers, PTA
• Antonio Carvalho Braga, MD
• Irma Alicia Brand, NP

• Family Nurse Practitioner in Victoria, TX
• Providers in Victoria, 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 Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.