Active NPI
Alyssa Maltby, APRN
- Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP135039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP135039 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Specialists of Houston, PA | Single Specialty | Current | 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
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.