Individual provider Active NPI

Cinthya Paola Mazuelos Urbina Jackson

  • General Practice Registered Nurse
  • Houston, TX
National Provider Identifier
1508642380
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
827152 Issued in TX
Practice address
6901 Bertner Ave
Houston, TX 77030-3901
Phone
(713) 500-2100
Fax
(713) 500-2107
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 827152 TX Primary

Addresses

Primary practice location

6901 Bertner Ave
Houston, TX 77030-3901

Mailing address

2431 Wagon Run
Sugar Land, TX 77479-1314
Phone (210) 998-0424

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
827152TXMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1508642380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 WAGON RUN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791314",
            "telephone_number": "210-998-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303901",
            "telephone_number": "713-500-2100",
            "fax_number": "713-500-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUELOS URBINA JACKSON",
        "first_name": "CINTHYA",
        "middle_name": "PAOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "827152",
            "primary": true
        }
    ],
    "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 Sep 6, 2023; 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.