Mayra Elizabeth Andrade

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134306 Issued in TX

Practice address

4617 Greenwood Dr
Corpus Christi, TX 78416

Phone

(361) 857-2872

NPI assigned

Oct 27, 2017

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1124530357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13978 BINNACLE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186104",
            "telephone_number": "361-694-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 GREENWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78416",
            "telephone_number": "361-857-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5826 Esplanade Dr Ste 304B",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144173",
            "country_code": "US",
            "telephone_number": "361-992-5655",
            "fax_number": "361-992-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5826 Esplanade Dr Ste 304B",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144173",
            "country_code": "US",
            "telephone_number": "361-992-5655",
            "fax_number": "361-992-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "MAYRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Morton Anderson
• Marshall Anderson, DO
• Meaghan Anderson
• Stephanie Anderson
• Debra Lee Andrade
• Jacob M Andreasen, PA-C
• Andres Bonelli, MD
• Kindal Lee Andrews, APRN
• Carol Ann Andrus, M.D.
• Lauren Michelle Andrus

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, 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 May 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.