Individual provider Active NPI

Abbygail Herrera, NNP-BC

  • Neonatal Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1639977283
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
1196982 Issued in TX
Practice address
606 Johnson Ave
Odessa, TX 79763-3732
Phone
(432) 934-3702
NPI assigned
Mar 7, 2025
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 1196982 TX Primary
Neonatal Intensive Care Registered Nurse 163WN0002X 960003 TX

Addresses

Primary practice location

606 Johnson Ave
Odessa, TX 79763-3732

Mailing address

606 Johnson Ave
Odessa, TX 79763-3732
Phone (432) 934-3702

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
I20260311004261 TX Practitioner - Nurse Practitioner 8022591627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
960003TXMDNeonatal Intensive Care Registered Nurse
1196982TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Apr 15, 2026 Accepting new patients
Covenant Medical Group CurrentSince Apr 15, 2026 Accepting new patients

Locations

4102 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0237

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1639977283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 JOHNSON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797633732",
            "telephone_number": "432-934-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 JOHNSON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797633732",
            "telephone_number": "432-934-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ABBYGAIL",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "1196982",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TX",
            "license": "960003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.