Individual provider Active NPI

Vannica Soy, FNP-C

  • Dermatology Physician
  • Cypress, TX
National Provider Identifier
1245843473
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1009473 Issued in TX
Practice address
27150 Highway 290 Ste 100
Cypress, TX 77433-7224
Phone
(832) 653-3300
Fax
(832) 653-6407
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1009473 TX Primary

Addresses

Primary practice location

27150 Highway 290 Ste 100
Cypress, TX 77433-7224

Mailing address

18422 Maple Mill Dr
Cypress, TX 77429-4523
Phone (832) 790-2491

Other practice location 1

4707 Eigel St Ste 100
Houston, TX 77007-3417
Phone (713) 960-1311

Other practice location 2

2112 W Davis St
Conroe, TX 77304-2049
Phone (936) 900-0788

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
I20201030000229 TX Practitioner - Nurse Practitioner 1850701921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robare Dermatology PLLCGroup PAC ID 5698157741, 3 clinicians

Practice addresses (Care Compare)

10547 Fry Rd
Cypress, TX 77433-5348
Phone (832) 834-3349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1009473TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Dermatology Dermatology CurrentSince Mar 6, 2023 Accepting new patients
Nikko Cosmetic Surgery Center Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Warthan Dermatology Nacogdoches PLLC Dermatology PastSince Sep 1, 2020 Accepting new patients

Locations

10547 Fry Rd
Cypress, TX 77433
Phone (832) 834-3349

4707 Eigel St
Ste 100
Houston, TX 77007
Phone (713) 960-1311

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00193

Organizations & group practices 3

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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1245843473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18422 MAPLE MILL DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294523",
            "telephone_number": "832-790-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27150 HIGHWAY 290 STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337224",
            "telephone_number": "832-653-3300",
            "fax_number": "832-653-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4707 Eigel St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770073417",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "713-960-1325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 W Davis St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042049",
            "country_code": "US",
            "telephone_number": "936-900-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOY",
        "first_name": "VANNICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "1009473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.