Individual provider Active NPI

Kelsie Barta, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1912466038
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140999 Issued in TX
Practice address
2636 S Loop W
Houston, TX 77054-2680
Phone
(713) 500-2800
NPI assigned
Mar 18, 2019
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP140999 TX Primary

Addresses

Primary practice location

2636 S Loop W
Houston, TX 77054-2680

Mailing address

2636 S Loop W Ste 135
Houston, TX 77054-5646
Phone (713) 500-2800

Other identifiers 1

IdentifierTypeStateIssuer
26072850OtherTXDRIVERS LICENSE

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
I20190404002256 TX Practitioner - Nurse Practitioner 2062753817 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140999TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 1, 2023 Accepting new patients
Ut Physicians Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
El Campo Memorial Hospital Past Accepting new patients

Locations

15555 Kuykendahl Rd
Houston, TX 77090
Phone (281) 885-4630

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

2636 S Loop W
Ste 650
Houston, TX 77054
Phone (713) 500-2800

2636 S Loop W
Ste 135
Houston, TX 77054
Phone (713) 500-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1912466038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545646",
            "telephone_number": "713-500-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542680",
            "telephone_number": "713-500-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTA",
        "first_name": "KELSIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "26072850",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.