Mayra Alejandra Villalta, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130563 Issued in TX

Practice address

1919 S Braeswood Blvd
Suite 5330
Houston, TX 77030-4444

Phone

(832) 824-2999

NPI assigned

Jul 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Mayra Alejandra Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Starlight Pediatric Urgent Care

  dba Texas Children's Urgent Care

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1225459233
  NPD (past)
• TCH Pediatric Associates, Inc

  dba TCP Grand Parkway

  • Pediatrics Physician
  • Sugar Land, TX
  • NPI 1861492654
  NPD (past)
• TCH Pediatrics Inc

  dba TCP North Austin Campus

  • Pediatrics Physician
  • Austin, TX
  • NPI 1982477394
  NPD (past)
• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)
• Texas Children's Urgent Care

  • Pediatrics Physician
  • Houston, TX
  • NPI 1871998963
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1174076251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 ROBIN ST",
            "address_2": "UNIT C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194655",
            "telephone_number": "832-287-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S BRAESWOOD BLVD",
            "address_2": "SUITE 5330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304444",
            "telephone_number": "832-824-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALTA",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "755781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "GONZALEZ",
            "middle_name": "ALEJANDRA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandrs Maria Villalobos, PA-C
• Zafiro Estefania Villalobos, DPT
• Luz Arely Villalpando Martinez, OTD, OTR
• Brisa Villalpando
• Bryan Armando Villalpando, FNP
• Rebeca N/a Villalta
• Gustavo David Villamar, MD
• Cristina Brioso Villamor, PHARM. D.
• Kimberlee Ann Villanova, NNP-BC
• Erika Villanueva Vaca

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, 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 Jul 26, 2016; 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.