Individual provider Active NPI

Manuel Madrid, FNP

  • Family Nurse Practitioner
  • Horizon City, TX
National Provider Identifier
1144870718
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142630 Issued in TX
Practice address
17015 Carson Dr
Horizon City, TX 79928-6430
Phone
(915) 345-3836
NPI assigned
Sep 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142630 TX Primary

Addresses

Primary practice location

17015 Carson Dr
Horizon City, TX 79928-6430

Mailing address

17015 Carson Dr
Horizon City, TX 79928-6430
Phone (915) 345-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201005002957 TX Practitioner - Nurse Practitioner 5193144400 Reassigns benefits to 2 organizations
I20230630002620 NM Practitioner - Nurse Practitioner 5193144400 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Feb 10, 2021 Accepting new patients
Signify Health, LLC CurrentSince Jun 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 10, 2021 Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1144870718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17015 CARSON DR",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799286430",
            "telephone_number": "915-345-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17015 CARSON DR",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799286430",
            "telephone_number": "915-345-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "MANUEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

Verify at the official NPI Registry.