Active NPI
Laureano E. Balseiro, NP
- Nurse Practitioner
- Houston, TX
National Provider Identifier
1821284118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP138654
- Practice address
- 10333 Harwin Dr. Suite 536
Houston, TX 77036 - Phone
- (713) 485-6123
- Fax
- (832) 965-0442
- NPI assigned
- Sep 20, 2007
- Reactivated
- Jun 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Nurse Practitioner | 363L00000X | AP138654 | TX | Primary |
Addresses
Primary practice location
10333 Harwin Dr. Suite 536
Houston, TX 77036
Mailing address
2414 Falcon Knoll LN
Katy, TX 77494
Phone (832) 866-8145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138654 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Home Health Services, Inc. | Past | Accepting new patients | |
| Axon Home Health Services Corp | Past | Accepting new patients |
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.
-
- Home Health Agency
- Houston, TX
- NPI 1326006032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1821284118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 FALCON KNOLL LN",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "832-866-8145",
"fax_number": "832-965-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10333 HARWIN DR. SUITE 536",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "713-485-6123",
"fax_number": "832-965-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALSEIRO",
"first_name": "LAUREANO",
"middle_name": "E.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2019-06-29",
"deactivation_date": "2019-06-05",
"reactivation_date": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP138654",
"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 Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.