Individual provider Active NPI

Evelyn Sylvalie, A-GNP-C

  • Gerontology Nurse Practitioner
  • Webster, TX
National Provider Identifier
1154101764
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1097766 Issued in TX
Practice address
350 Blossom St
Webster, TX 77598-4206
Phone
(281) 316-7800
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1097766 TX Primary

Addresses

Primary practice location

350 Blossom St
Webster, TX 77598-4206

Mailing address

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 1

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 2

110 E Medical Center Blvd
Webster, TX 77598-4301
Phone (832) 224-9500

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
I20240118000558 TX Practitioner - Nurse Practitioner 8224480991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Xpertmd 39 clinicians
KND Development 59 LLC 176 clinicians

Practice addresses (Care Compare)

350 Blossom St
Webster, TX 77598-4206
Phone (281) 332-3001

6441 Main St
Houston, TX 77030-1502
Phone (713) 790-0500

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Pam Rehabilitation Hospital of Clear Lake Inpatient rehabilitation facility, Webster, TX, CCN 673061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1097766TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xpertmd Gerontology CurrentSince Dec 9, 2023 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Jan 31, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Jan 31, 2024 Accepting new patients

Locations

18333 Egret Bay Blvd
Ste 140
Houston, TX 77058
Phone (281) 218-8797

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

411 Alabama Ave
League City, TX 77573
Phone (281) 332-9588

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

110 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1154101764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "281-332-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984206",
            "telephone_number": "281-316-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18333 Egret Bay Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583239",
            "country_code": "US",
            "telephone_number": "281-332-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984301",
            "country_code": "US",
            "telephone_number": "832-224-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYLVALIE",
        "first_name": "EVELYN",
        "credential": "A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1097766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.