Individual provider Active NPI

Yusleidy Caridad Valdes Blain, APRN-CNP

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1548081292
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059699 Issued in TX
Practice address
8106 Vida Costa Dr
Cypress, TX 77433-3369
Phone
(832) 613-7806
NPI assigned
Oct 24, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 1059699 TX Primary

Addresses

Primary practice location

8106 Vida Costa Dr
Cypress, TX 77433-3369

Mailing address

8106 Vida Costa Dr
Cypress, TX 77433-3369
Phone (832) 613-7806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2025 through Jan 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1059699TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1548081292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 VIDA COSTA DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333369",
            "telephone_number": "832-613-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 VIDA COSTA DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333369",
            "telephone_number": "832-613-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES BLAIN",
        "first_name": "YUSLEIDY",
        "middle_name": "CARIDAD",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.