Individual provider Active NPI

Thomas M Barnett, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811003767
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774906 Issued in TX
Practice address
9402 Mesa Dr
Houston, TX 77028-1201
Phone
(713) 633-1626
Fax
(713) 635-6253
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5661 TX
Family Nurse Practitioner 363LF0000X 774906 TX Primary

Addresses

Primary practice location

9402 Mesa Dr
Houston, TX 77028-1201

Mailing address

9402 Mesa Dr
Houston, TX 77028-1201
Phone (713) 633-1626

Other identifiers 1

IdentifierTypeStateIssuer
856N17OtherTXBCBS

Other names 1

  • Jack T Barnett Other name

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
I20120208000218 TX Practitioner - Nurse Practitioner 5890952568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5661TXMDChiropractor
774906TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Sep 1, 2021 Accepting new patients
JBCM-1 PastSince Nov 14, 2011 Accepting new patients

Locations

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

1911 Bagby St
Houston, TX 77002
Phone (713) 790-1666

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1811003767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 MESA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281201",
            "telephone_number": "713-633-1626",
            "fax_number": "713-635-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 MESA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281201",
            "telephone_number": "713-633-1626",
            "fax_number": "713-635-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5661",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "856N17",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "BARNETT",
            "middle_name": "T",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.