Individual provider Active NPI

Judith Nyabuti, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1790409282
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1089549 Issued in TX
Practice address
7311 S Hulen St
Fort Worth, TX 76133-6616
Phone
(817) 349-9228
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1089549 TX Primary

Addresses

Primary practice location

7311 S Hulen St
Fort Worth, TX 76133-6616

Mailing address

7311 S Hulen St
Fort Worth, TX 76133-6616
Phone (817) 349-9228

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
I20240314002996 TX Practitioner - Nurse Practitioner 4486090222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1412 W Magnolia Ave
Suite 210
Fort Worth, TX 76104-4364
Phone (855) 284-7483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1089549TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 7, 2024 Accepting new patients
US Televero Health PA Psychiatric/Mental Health CurrentSince May 2, 2024 Accepting new patients
Above and Beyond Comfort Care Current Accepting new patients

Locations

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

1412 W Magnolia Ave
Ste 210
Fort Worth, TX 76104
Phone (855) 914-5753

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1790409282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336616",
            "telephone_number": "817-349-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336616",
            "telephone_number": "817-349-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYABUTI",
        "first_name": "JUDITH",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1089549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.