Active NPI
Nativida Etienne-Maule, DNP, FNP-BC
- Primary Care Nurse Practitioner
- Spring, TX
National Provider Identifier
1346449543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP124126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346449543 | Medicaid | VA |
Other names 1
- Ms. Nativida Chapman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP124126 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | 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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.