Individual provider Active NPI

Nativida Etienne-Maule, DNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Spring, TX
National Provider Identifier
1346449543
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP124126 Issued in TX
Practice address
25410 Interstate 45 N
Spring, TX 77386-1351
Phone
(281) 367-1414
Fax
(281) 383-5686
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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 0024168277 VA
Primary Care Nurse Practitioner 363LP2300X AP124126 TX Primary

Addresses

Primary practice location

25410 Interstate 45 N
Spring, TX 77386-1351

Mailing address

25410 Interstate 45 N
Spring, TX 77386-1351
Phone (281) 367-1414

Other identifiers 1

IdentifierTypeStateIssuer
1346449543MedicaidVA

Other names 1

  • Ms. Nativida Chapman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080708000065 NY Practitioner - Nurse Practitioner 3870665904 Reassigns benefits to 1 organization
I20161112000226 TX Practitioner - Nurse Practitioner 3870665904 Reassigns benefits to 1 organization
I20260116000522 CT Practitioner - Nurse Practitioner 3870665904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP124126TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Dec 12, 2025 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1346449543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25410 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861351",
            "telephone_number": "281-367-1414",
            "fax_number": "281-383-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25410 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861351",
            "telephone_number": "281-367-1414",
            "fax_number": "281-383-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE-MAULE",
        "first_name": "NATIVIDA",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168277",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP124126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346449543",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATIVIDA",
            "last_name": "CHAPMAN",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.