Individual provider Active NPI

Mallory Cervas, RN

  • Registered Nurse
  • Tomball, TX
National Provider Identifier
1215854849
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
780966 Issued in TX
Practice address
19003 Paso Fino Prairie LN
Tomball, TX 77377-2784
Phone
(832) 492-0760
NPI assigned
Jul 3, 2026
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 780966 TX Primary

Addresses

Primary practice location

19003 Paso Fino Prairie LN
Tomball, TX 77377-2784

Mailing address

19003 Paso Fino Prairie LN
Tomball, TX 77377-2784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1215854849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19003 PASO FINO PRAIRIE LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19003 PASO FINO PRAIRIE LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772784",
            "telephone_number": "832-492-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVAS",
        "first_name": "MALLORY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "780966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.