Individual provider Active NPI

Cindy Mae Serey

  • Personal Care Attendant
  • La Porte, TX
National Provider Identifier
1114638970
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3804 Teakwood Dr
La Porte, TX 77571-4322
Phone
(713) 504-8124
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

3804 Teakwood Dr
La Porte, TX 77571-4322

Mailing address

3804 Teakwood Dr
La Porte, TX 77571-4322
Phone (713) 504-8124

Other identifiers 1

IdentifierTypeStateIssuer
15766884MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cserey1957@gmail.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1114638970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 TEAKWOOD DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714322",
            "telephone_number": "713-504-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 TEAKWOOD DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714322",
            "telephone_number": "713-504-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREY",
        "first_name": "CINDY",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15766884",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cserey1957@gmail.com",
            "affiliation": "N",
            "address_1": "3804TeakwoodDr",
            "city": "laporte",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.