Individual provider Active NPI

Maylin Diaz Lopez, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1508432014
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1042837 Issued in TX
Practice address
10823 Harvest Sun Dr
Houston, TX 77064-4492
Phone
(832) 876-4427
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1042837 TX Primary

Addresses

Primary practice location

10823 Harvest Sun Dr
Houston, TX 77064-4492

Mailing address

12033 Veterans Memorial Dr
Houston, TX 77067-1055
Phone (832) 705-8585

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
I20220919001225 TX Practitioner - Nurse Practitioner 8426450990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10581 S Hwy 6
Suite 103
Sugar Land, TX 77498-4907
Phone (346) 350-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Vital Care LLC Family CurrentSince Jul 26, 2022 Accepting new patients

Locations

12033 Veterans Memorial Dr
Ste 109
Houston, TX 77067
Phone (281) 973-0885

12033 Veterans Memorial Dr
Houston, TX 77067
Phone (832) 705-8585

10581 S Highway 6
Ste 103
Sugar Land, TX 77498
Phone (346) 350-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1508432014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12033 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671055",
            "telephone_number": "832-705-8585",
            "fax_number": "832-705-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 HARVEST SUN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770644492",
            "telephone_number": "832-876-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ LOPEZ",
        "first_name": "MAYLIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1042837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.