Individual provider Active NPI

Sonia Mathew, FNP-C

  • Pediatric Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1093264046
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP131243 Issued in TX
Practice address
9522 Broadway St
Pearland, TX-77584
Pearland, TX 77584-7724
Phone
(713) 516-1200
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131243 TX
Pediatric Nurse Practitioner 363LP0200X AP131243 TX Primary

Addresses

Primary practice location

9522 Broadway St
Pearland, TX-77584
Pearland, TX 77584-7724

Mailing address

2310 Diamond Springs Dr
Pearland, TX 77584-7871
Phone (713) 516-1200

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
I20161107001297 TX Practitioner - Nurse Practitioner 4587942974 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131243TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 19, 2016 Accepting new patients
Utmb Faculty Group Practice CurrentSince Feb 1, 2020 Accepting new patients
Ut Physicians CurrentSince Sep 19, 2016 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 720
Houston, TX 77030
Phone (713) 486-0340

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695

Interoperability endpoints

  • Direct secure messaging: smathewfnp38954@direct.utmb.edu

Organizations & group practices 4

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1093264046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 DIAMOND SPRINGS DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847871",
            "telephone_number": "713-516-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 BROADWAY ST",
            "address_2": "PEARLAND, TX-77584",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847724",
            "telephone_number": "713-516-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SONIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131243",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP131243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.