Maxine Estrada, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP135540 Issued in TX

Practice address

3425 Grande Bulevar
Irving, TX 75062-5108

Phone

(972) 639-5836

Fax

(972) 639-5836

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maxine.estrada.1@16213.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16213/brand/1/csg/1/fhir/r4

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.

• Kudo Care Medical PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1225568967
  Medicare reassignment NPD
• Estrada & Estrada

  • Community/Behavioral Health Agency
  • Irving, TX
  • NPI 1528525987
  NPD (past) Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1558869487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 INSPIRATION LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718599",
            "telephone_number": "432-230-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625108",
            "telephone_number": "972-639-5836",
            "fax_number": "972-639-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MAXINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP135540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Nebo Okorafor
• Estrada & Estrada
• Estrada & Estrada LLC
• Janine Michelle Estrada
• Katherine Yamilex Estrada
• Shahin Etezadi-Amoli, M.D., M.P.H.
• Ethos Regenerative Medical Group PLLC
• Eunice I . Okafor
• Sharond E. Evans, COTA
• Shelby Evans

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.