Active NPI
Richard Lee Bustamante, DNP, APRN, AGACNP-BC
- Gerontology Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1142029
- Practice address
- 6565 Fannin St
Houston, TX 77030-2703 - Phone
- (346) 384-4358
- NPI assigned
- Nov 20, 2023
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1142029 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 1142029 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 1142029 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1142029 | TX | Primary |
Addresses
Primary practice location
6565 Fannin St
Houston, TX 77030-2703
Mailing address
1302 Waugh Dr # 186
Houston, TX 77019-3908
Phone (956) 890-6902
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142029 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Nurse Practitioner | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Jason Martin Medical Consulting LLC | Current | Accepting new patients | |
| Hospital Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Aco Jason Martin Medical Consulting | Nurse Practitioner | Current | Accepting new patients |
Locations
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
6400 Fannin St
Ste 2300
Houston, TX 77030
Phone (713) 338-4523
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
1021 W Interstate 2
Weslaco, TX 78596
Phone (956) 389-1736
Interoperability endpoints
- richard.bustamante.1@28492.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Internal Medicine Physician
- Austin, TX
- NPI 1881578961
Nurse Practitioner
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- General Practice Physician
- Austin, TX
- NPI 1851736243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1720853633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 WAUGH DR # 186",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770193908",
"telephone_number": "956-890-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "346-384-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DNP, APRN, AGACNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1142029",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1142029",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1142029",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1142029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.