Individual provider Active NPI

Malek Krco Haver, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1467152389
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1138338 Issued in TX
Practice address
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone
(713) 338-9386
Fax
(877) 298-7013
NPI assigned
Mar 8, 2023
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 1138338 TX Primary
Registered Nurse 163W00000X 942839 TX

Addresses

Primary practice location

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Mailing address

5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone (713) 338-9386

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

State licenses

LicenseStateTypeSpecialty
942839TXMDRegistered Nurse
1138338TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1467152389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "713-338-9386",
            "fax_number": "877-298-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "713-338-9386",
            "fax_number": "877-298-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVER",
        "first_name": "MALEK",
        "middle_name": "KRCO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1138338",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "942839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.