Active NPI
Bueno Wellness Center, PLLC
- Family Nurse Practitioner
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2020
- 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
- Nancy P Bueno, NP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18686903 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://athenanet.athenahealth.com/21019/49/globalframeset.esp? | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Odessa, TX
- NPI 1336200310
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.