BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC
NPI 1487599379
Nurse Practitioner - Family in Victoria, TX

Active since April 20, 2026CLIA 45D2338858 · Waiver
1902 JOHN STOCKBAUER DR STE 300, VICTORIA, TX 77901(361) 308-9311(844) 483-1957 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bougie And Beautified Luxury Med Spa And Primary Care Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC (NPI 1487599379) is a healthcare organization registered as a family in Victoria, Texas and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Yvette Barrera, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1487599379
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC
Location Address1902 JOHN STOCKBAUER DR STE 300Victoria, TX 77901-3797
Mailing Address1902 John Stockbauer Dr Ste 300Victoria, TX 77901-3797 · (361) 308-9311 · Fax (844) 483-1957
Fax(844) 483-1957
Organization SubpartNo
Authorized OfficialYvette BarreraNurse Practitioner/owner · (361) 308-9311
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1487599379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1902 JOHN STOCKBAUER DR STE 300, Victoria, TX 77901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2338858

Bougie And Beautified Luxury Med Spa And Primary Care Services, PLLC · Victoria, TX
Active · expires Feb 18, 2028
CLIA Number45D2338858
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorYvette A. Barrera
Laboratory Phone(361) 308-9311
Laboratory LocationBougie And Beautified Luxury Med Spa And Primary Care Services, PLLC1902 John Stockbauer Drive, Ste 300 & 400, Victoria, TX 77901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1902 JOHN STOCKBAUER DR STE 300
VICTORIA, TX 77901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC's NPI number?

The NPI number for Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC is 1487599379. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC located?

Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC is located at 1902 John Stockbauer Dr Ste 300, Victoria, TX 77901. The listed phone number is (361) 308-9311.

What is Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2338858) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bougie And Beautified Luxury Med Spa And Primary Care Services PLLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.