Individual provider Active NPI

Patricia Buzombo

  • Family Nurse Practitioner
  • Jersey Village, TX
National Provider Identifier
1528779550
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1100722 Issued in TX
Practice address
20320 Northwest Fwy Ste 400
Jersey Village, TX 77065
Phone
(346) 260-5112
Fax
(832) 376-7541
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1100722 TX Primary

Addresses

Primary practice location

20320 Northwest Fwy Ste 400
Jersey Village, TX 77065

Mailing address

20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643

Other practice location 1

1006 Windsor Lakes Blvd Ste 150
Conroe, TX 77384-4975
Phone (346) 260-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404000685 TX Practitioner - Nurse Practitioner 6103264593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chrisud LLCGroup PAC ID 4688059173, 4 clinicians

Practice addresses (Care Compare)

1006 Windsor Lakes Blvd
Suite 150
Conroe, TX 77384-4975
Phone (346) 260-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1100722TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chrisud LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

20320 Northwest Fwy
Ste 400
Jersey Village, TX 77065
Phone (281) 469-1536

1006 Windsor Lakes Blvd
Ste 150
The Woodlands, TX 77384
Phone (281) 292-7246

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1528779550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "346-260-5112",
            "fax_number": "832-376-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Windsor Lakes Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773844975",
            "country_code": "US",
            "telephone_number": "346-260-5112",
            "fax_number": "832-376-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZOMBO",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1100722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.