Individual provider Active NPI

Suyapa Marixa Maldonado, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1205908449
Registry record updated Aug 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
709589 Issued in TX
Practice address
2108 N. Frazier St.
Suite D
Conroe, TX 77301-1220
Phone
(936) 718-4671
Fax
(936) 494-4354
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2009

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 709589 TX Primary

Addresses

Primary practice location

2108 N. Frazier St.
Suite D
Conroe, TX 77301-1220

Mailing address

9 Greenway PLZ Ste 2950
Houston, TX 77046-0924
Phone (866) 607-7334

Other identifiers 2

IdentifierTypeStateIssuer
168756801MedicaidTX
8Y3431OtherTXBCBSTX

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
I20080218000667 TX Practitioner - Nurse Practitioner 0042393761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians
Memorial Hermann Neighborhood Health Centers, PLLCGroup PAC ID 0345723201, 11 clinicians

Practice addresses (Care Compare)

1631 N Loop W
Suite 150
Houston, TX 77008-1529
Phone (713) 867-4468

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 867-2066

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-8409

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

19333 Hwy 59 N
Suite 280
Humble, TX 77338-4256
Phone (832) 658-5530

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
709589TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Physicians of Texas CurrentSince May 9, 2011 Accepting new patients
MHS Physicians of Texas CurrentSince May 9, 2011 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC CurrentSince Jan 27, 2026 Accepting new patients
University of Texas Health Science Past Accepting new patients

Locations

1800 W 26th St
Ste 103
Houston, TX 77008
Phone (713) 957-8400

19333 Highway 59 N
Ste 280
Humble, TX 77338
Phone (281) 319-8500

Interoperability endpoints

  • Direct secure messaging: smaldonado66233@memorialhermann.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250294400000",
    "number": "1205908449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ STE 2950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460924",
            "telephone_number": "866-607-7334",
            "fax_number": "713-358-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 N. FRAZIER ST.",
            "address_2": "SUITE D",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011220",
            "telephone_number": "936-718-4671",
            "fax_number": "936-494-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "SUYAPA",
        "middle_name": "MARIXA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "709589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168756801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y3431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.