NPIMap

Organization Active NPI

Simple Blessings Pediatrics & Functional Medicine, LLC

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1700647310
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SIMPLE BLESSINGS PEDIATRICS & FUNCTIONAL MEDICINE, LLC
Practice address
12235 Little Blue Heron LN
Conroe, TX 77304-1689
Phone
(936) 236-9147
NPI assigned
Jan 22, 2024
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Heather Lee Hasara, FNP-C, CPNP-PCNPI 1437569548
Title
Owner
Phone
(936) 236-9147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Pediatric Nurse Practitioner 363LP0200X NU
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

12235 Little Blue Heron LN
Conroe, TX 77304-1689

Mailing address

12235 Little Blue Heron LN
Conroe, TX 77304-1689
Phone (936) 236-9147

Other names 1

  • Simple Blessings Pediatrics & Adult Functional Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250303003014 TX Part B Supplier - Clinic/Group Practice 9638690944 Receives reassigned benefits from 1 practitioner
Practice locations: Corsicana, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1700647310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 LITTLE BLUE HERON LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041689",
            "telephone_number": "936-236-9147",
            "fax_number": "936-244-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 LITTLE BLUE HERON LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041689",
            "telephone_number": "936-236-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE BLESSINGS PEDIATRICS & FUNCTIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "HASARA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-236-9147",
        "authorized_official_credential": "FNP-C, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Blessings Pediatrics & Adult Functional Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.