Individual provider Active NPI

Brenda Baluyut

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1689203994
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139597 Issued in TX
Practice address
14610 Fall Creek Bend CT
Humble, TX 77396-3556
Phone
(832) 477-2378
NPI assigned
Apr 7, 2020
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 AP139597 TX Primary

Addresses

Primary practice location

14610 Fall Creek Bend CT
Humble, TX 77396-3556

Mailing address

14610 Fall Creek Bend CT
Humble, TX 77396-3556

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
I20210623000644 TX Practitioner - Nurse Practitioner 8426459827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajiv Agarwal MD PAGroup PAC ID 6305184011, shared by 2 NPIs, 21 clinicians

Practice addresses (Care Compare)

18835 McKay Dr
Humble, TX 77338-5721
Phone (832) 644-8930

18980 W Memorial Dr
Suite 100
Humble, TX 77338-4472
Phone 8326448930120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Agarwal MD PA CurrentSince Mar 11, 2021 Accepting new patients
Rajiv Agarwal MD PA CurrentSince Mar 11, 2021 Accepting new patients

Locations

18835 McKay Dr
Humble, TX 77338
Phone (832) 644-8930

18980 W Memorial Dr
Ste 100
Humble, TX 77338
Phone (832) 644-8930

21703 Kingsland Blvd
Ste 100
Katy, TX 77450
Phone (281) 769-1015

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGBD

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1689203994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14610 FALL CREEK BEND CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14610 FALL CREEK BEND CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963556",
            "telephone_number": "832-477-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUYUT",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.