Individual provider Active NPI

Fatima Sachwani Maredia, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1407394968
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133164 Issued in TX
Practice address
4411 Anderson Rd
Houston, TX 77053-2307
Phone
(281) 625-2051
NPI assigned
Feb 5, 2017
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133164 TX
Family Nurse Practitioner 363LF0000X 344309 NY
Family Nurse Practitioner 363LF0000X AP133164 TX Primary

Addresses

Primary practice location

4411 Anderson Rd
Houston, TX 77053-2307

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other identifiers 2

IdentifierTypeStateIssuer
AP133164OtherTXSTATE NURSING LICENSE
344309OtherNYNY STATE NURSING LICENSE

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
I20170626000265 TX Practitioner - Nurse Practitioner 4284902735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
344309NYMDLicensed Practical Nurse
AP133164TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Oct 7, 2019 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Oct 7, 2019 Accepting new patients
Legacy Community Health Services, Inc. PastSince May 8, 2022 Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1407394968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 ANDERSON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770532307",
            "telephone_number": "281-625-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREDIA",
        "first_name": "FATIMA",
        "middle_name": "SACHWANI",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING LICENSE",
            "identifier": "AP133164",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE NURSING LICENSE",
            "identifier": "344309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.