Norbe Luis Basulto Barcelay, LSA, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1102060 Issued in TX

Practice address

29310 Prairie Rose CT
Katy, TX 77494-7384

Phone

(786) 556-8819

NPI assigned

Jun 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Havana Medical Group Corp

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1679270623
  NPD Authorized official
• Clinica Familiar la Luz LLC

  • Primary Care Clinic/Center
  • Katy, TX
  • NPI 1871290825
  NPD
• Havana Medical Group Corp

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1568169936
  NPD

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1861628505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29310 PRAIRIE ROSE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947384",
            "telephone_number": "786-556-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29310 PRAIRIE ROSE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947384",
            "telephone_number": "786-556-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23501 Cinco Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774943095",
            "country_code": "US",
            "telephone_number": "786-556-8819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASULTO BARCELAY",
        "first_name": "NORBE",
        "middle_name": "LUIS",
        "credential": "LSA, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1102060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC,BCBS,AETNA,CIGNA,WC",
            "identifier": "1861628505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC,AETNA,BCBS,CIGNA,WC",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH CHOICE",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVOTED HEALTH",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1861628505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH CHOICE",
            "identifier": "1861628505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nia Bass
• Savannah Lila Bassett, NP
• Sidney Bassett
• Sarah Y Bastidas, COTA
• Bastine Resources Mediation Firm LLC
• Estefania Fernanda Batallas, ARNP FNP-BC
• Krystal Renae Batchelor, D.O.
• Gina Bates
• Melissa Rhea Bates, LM, CPM
• Yolanda Roshell Bates, AGNP-C

• Family Nurse Practitioner in Katy, TX
• Providers in Katy, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.