Individual provider Active NPI

Laura Madu, DNP PMHNP-BC ,FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1528337607
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP125091 Issued in TX
Practice address
17030 Nanes Dr Ste 209
Houston, TX 77090-2533
Phone
(281) 508-7434
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007271 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.15280 OH
Family Nurse Practitioner 363LF0000X AP125091 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 3007271 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP125091 TX Primary
Family Nurse Practitioner 363LF0000X 013652 WV

Addresses

Primary practice location

17030 Nanes Dr Ste 209
Houston, TX 77090-2533

Mailing address

28610 Highway 290 Ste F09-233
Cypress, TX 77433-5462
Phone (281) 508-7434

Other practice location 1

3655 Winchester Ave
Ashland, KY 41101-2065
Phone (606) 393-4062

Other practice location 2

802 Clare ave
Portsmouth, OH 45662-2533
Phone (281) 508-7434

Other identifiers 3

IdentifierTypeStateIssuer
7100912230MedicaidKY
0221137MedicaidOH
389656502MedicaidTX

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
I20170310001393 TX Practitioner - Nurse Practitioner 2365726395 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

Practice addresses (Care Compare)

120 Partridge Dr
Russell, KY 41169-1562

3655 Winchester Ave
Ashland, KY 41101-2065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15280OHMDFamily Nurse Practitioner
013652WVMDFamily Nurse Practitioner
3007271KYMDPsychiatric/Mental Health Nurse Practitioner
AP125091TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Multi-Specialty CurrentSince Jul 2, 2018 Accepting new patients
Vpa of Texas PLLC Multi-Specialty CurrentSince Jul 2, 2018 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 2

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1528337607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28610 HIGHWAY 290 STE F09-233",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335462",
            "telephone_number": "281-508-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902533",
            "telephone_number": "281-508-7434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012065",
            "country_code": "US",
            "telephone_number": "606-393-4062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Clare ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622533",
            "country_code": "US",
            "telephone_number": "281-508-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADU",
        "first_name": "LAURA",
        "credential": "DNP PMHNP-BC ,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15280",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125091",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007271",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP125091",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "013652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100912230",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221137",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389656502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.