Individual provider Active NPI

Alyssa Maltby, APRN

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1023536414
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135039 Issued in TX
Practice address
4407 Yoakum Blvd
Houston, TX 77006-5861
Phone
(713) 791-2648
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP135039 TX Primary

Addresses

Primary practice location

4407 Yoakum Blvd
Houston, TX 77006-5861

Mailing address

9904 Hidden Shadybrook Dr
Houston, TX 77080-2210

Other practice location 1

300 E Highland Mall Blvd Ste 1A
Austin, TX 78752-3746
Phone (512) 451-5800

Other practice location 2

4625 Center St
Deer Park, TX 77536-6352
Phone (281) 542-6856

Other names 1

  • Alyssa Evens Former name

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
I20180130002794 TX Practitioner - Nurse Practitioner 7315207941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Specialists of Houston, PAGroup PAC ID 5193613149, 24 clinicians

Practice addresses (Care Compare)

4407 Yoakum Blvd
Suite B
Houston, TX 77006-5861
Phone (281) 528-8111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135039TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Specialists of Houston, PA Single Specialty CurrentSince Apr 20, 2024 Accepting new patients

Locations

2625 S Highway 35 Byp
Ste 154
Alvin, TX 77511
Phone (281) 388-0707

2215 Rollingbrook Dr
Ste 140
Baytown, TX 77521
Phone (281) 428-2487

11914 Astoria Blvd
Ste 530
Houston, TX 77089
Phone (281) 301-8626

4407 Yoakum Blvd
Houston, TX 77006
Phone (713) 527-8436

4407 Yoakum Blvd
Ste B
Houston, TX 77006
Phone (281) 528-8111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
  • Direct secure messaging: alyssa.maltby.1@19285.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1023536414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 HIDDEN SHADYBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065861",
            "telephone_number": "713-791-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Highland Mall Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787523746",
            "country_code": "US",
            "telephone_number": "512-451-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 Center St",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "TX",
            "postal_code": "775366352",
            "country_code": "US",
            "telephone_number": "281-542-6856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALTBY",
        "first_name": "ALYSSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "EVENS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.