Individual provider Active NPI

Richard Lee Bustamante, DNP, APRN, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1720853633
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1142029 Issued in TX
Practice address
6565 Fannin St
Houston, TX 77030-2703
Phone
(346) 384-4358
NPI assigned
Nov 20, 2023
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212004171 TX Practitioner - Nurse Practitioner 3971946476 Reassigns benefits to 3 organizations

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
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

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

LicenseStateTypeSpecialty
1142029TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Ut Physicians CurrentSince Jan 8, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 16, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 16, 2025 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Jun 17, 2026 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Aco Jason Martin Medical Consulting Nurse Practitioner CurrentSince Jun 17, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.