Individual provider Active NPI

Queeneth Maduabuchi

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1003724345
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1222962 Issued in TX
Practice address
11822 Lilac Valley LN
Cypress, TX 77433-6928
Phone
(832) 881-0928
NPI assigned
Aug 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1222962 TX Primary

Addresses

Primary practice location

11822 Lilac Valley LN
Cypress, TX 77433-6928

Mailing address

11822 Lilac Valley LN
Cypress, TX 77433-6928
Phone (832) 881-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1003724345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11822 LILAC VALLEY LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336928",
            "telephone_number": "832-881-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11822 LILAC VALLEY LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336928",
            "telephone_number": "832-881-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUABUCHI",
        "first_name": "QUEENETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1222962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.