Individual provider Active NPI

Abraham Martinez Barrientes, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1790560068
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1133355 Issued in TX
Practice address
645 Villa Maria Blvd Ste a
Brownsville, TX 78520-6370
Phone
(956) 550-0999
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1133355 TX
Adult Health Nurse Practitioner 363LA2200X 1133355 TX
Community Health Nurse Practitioner 363LC1500X 1133355 TX
Primary Care Nurse Practitioner 363LP2300X 1133355 TX
Family Nurse Practitioner 363LF0000X 1133355 TX Primary

Addresses

Primary practice location

645 Villa Maria Blvd Ste a
Brownsville, TX 78520-6370

Mailing address

645 Villa Maria Blvd Ste B
Brownsville, TX 78520-6371
Phone (956) 550-0999

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
I20240625000427 TX Practitioner - Nurse Practitioner 2264975770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1133355TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Jacarandas Assisted Living LLC Current Accepting new patients
Las Jacarandas Assisted Living, LLC Current Accepting new patients

Locations

645 Villa Maria Blvd
Ste B
Brownsville, TX 78520
Phone (956) 542-2978

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1790560068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 VILLA MARIA BLVD STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206371",
            "telephone_number": "956-550-0999",
            "fax_number": "956-550-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 VILLA MARIA BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206370",
            "telephone_number": "956-550-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIENTES",
        "first_name": "ABRAHAM",
        "middle_name": "MARTINEZ",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1133355",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1133355",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TX",
            "license": "1133355",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1133355",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1133355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.