Maria Ivy Claborn

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136173 Issued in TX

Practice address

150 Pine Forest Dr Ste 101
Shenandoah, TX 77384-5302

Phone

(832) 610-2822

NPI assigned

Jan 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: maria.claborn@direct.davitaphysiciansolutions.com

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1033617857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 101",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 101",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "832-610-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABORN",
        "first_name": "MARIA IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Sparkman MD PA
• Daisy V Christopher, AGACNP
• Janella Chloe Chu
• Amy Chung, DO
• Mark Anthony Ciaglia, D.O.
• Kathryn K Clair, O.D.
• Clarifeye Total Eye Care Shenandoah, PLLC
• Matthew Timothy Clark, M.D.
• Kristen Cline, M.D.
• Christine Joelle Coates, ARNP

• Family Nurse Practitioner in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.