Individual provider Active NPI

Matthew Joseph Prado, APRN-CNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1154920452
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017273 Issued in TX
Practice address
3845 S Padre Island Dr
Corpus Christi, TX 78415-2919
Phone
(361) 854-4626
NPI assigned
Oct 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 1017273 TX Primary

Addresses

Primary practice location

3845 S Padre Island Dr
Corpus Christi, TX 78415-2919

Mailing address

20994 Donegal St
Mathis, TX 78368-4451
Phone (361) 660-6934

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
I20240404004130 TX Practitioner - Nurse Practitioner 1355789629 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017273TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Children'S Clinic PA CurrentSince Mar 1, 2024 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Aug 1, 2025 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Aug 1, 2025 Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients

Locations

5500 N Expressway
Brownsville, TX 78526
Phone (956) 698-8600

5500 N Expressway
#7783
Brownsville, TX 78526
Phone (956) 698-8600

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3435 S Alameda St
Ste 200
Corpus Christi, TX 78411

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

3533 S Alameda St
Ste 210
Corpus Christi, TX 78411
Phone (361) 694-5022

3435 S Alameda St
Corpus Christi, TX 78411
Phone (361) 855-7346

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 342-0485

7210 McPherson Rd
Ste 104
Laredo, TX 78041
Phone (956) 794-8400

1120 E Ridge Rd
McAllen, TX 78503
Phone (956) 688-1200

106 Springwood Dr
Ste 200
Victoria, TX 77904
Phone (361) 572-1000

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1154920452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20994 DONEGAL ST",
            "city": "MATHIS",
            "state": "TX",
            "postal_code": "783684451",
            "telephone_number": "361-660-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152919",
            "telephone_number": "361-854-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.