Individual provider Active NPI

Susan Altavas Sia, FNP-BC

  • Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1174839609
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
683271 Issued in TX
Practice address
1401 E 8TH St
Weslaco, TX 78596-6640
Phone
(956) 969-5300
NPI assigned
Aug 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 683271 TX
Nurse Practitioner 363L00000X 683271 TX Primary

Addresses

Primary practice location

1401 E 8TH St
Weslaco, TX 78596-6640

Mailing address

1409 W Business 83
Apt. 217
Weslaco, TX 78596-5676
Phone (305) 720-0719

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
I20101210000999 TX Practitioner - Nurse Practitioner 7012104425 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
683271TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA CurrentSince Aug 30, 2022 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Feb 15, 2015 Accepting new patients
Rio Grande Valley Emergency Physicians PLLC Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

3701 Center St
Deer Park, TX 77536
Phone (281) 523-2880

18220 State Highway 249
Ste 475
Houston, TX 77070
Phone (832) 698-5511

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

1635 S Voss Rd
Houston, TX 77057
Phone (713) 441-8020

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

18230 FM 1488 Rd
Ste 101
Magnolia, TX 77354
Phone (281) 259-1410

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

26000 FM 1093 Rd
Richmond, TX 77406
Phone (832) 522-6070

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

5303 FM 2920 Rd
Spring, TX 77388
Phone (877) 493-3228

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

3759 FM 1488 Rd
Ste 500
The Woodlands, TX 77384
Phone (832) 299-2500

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

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": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1174839609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W BUSINESS 83",
            "address_2": "APT. 217",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965676",
            "telephone_number": "305-720-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966640",
            "telephone_number": "956-969-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIA",
        "first_name": "SUSAN",
        "middle_name": "ALTAVAS",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "683271",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "683271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.