Organization Active NPI

Bueno Wellness Center, PLLC

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1528699758
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BUENO WELLNESS CENTER, PLLC
Practice address
511 W 8TH St Ste 201
Odessa, TX 79761-4406
Phone
(432) 614-9298
Fax
(432) 614-9357
NPI assigned
Jan 27, 2020
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Nancy P Bueno, NP-CNPI 1336200310
Title
FNP
Phone
(432) 614-9298

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

511 W 8TH St Ste 201
Odessa, TX 79761-4406

Mailing address

511 W 8TH St Ste 201
Odessa, TX 79761-4406
Phone (432) 614-9298

Other identifiers 1

IdentifierTypeStateIssuer
18686903MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://athenanet.athenahealth.com/21019/49/globalframeset.esp? Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

511 W 8th St
Ste 100
Odessa, TX 79761
Phone (432) 614-9298

808 Tower Dr
Ste 1
Odessa, TX 79761
Phone (432) 580-4170

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": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1528699758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 8TH ST STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614406",
            "telephone_number": "432-614-9298",
            "fax_number": "432-614-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 8TH ST STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614406",
            "telephone_number": "432-614-9298",
            "fax_number": "432-614-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENO WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "432-614-9298",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18686903",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com/21019/49/globalframeset.esp?",
            "affiliation": "N",
            "endpointDescription": "Athena Health EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://athenanet.athenahealth.com/21019/49/globalframeset.esp?",
            "address_1": "511 W 8th St Ste 201",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.