Cyprexhealth LLC
Organization Active NPI Gerontology Nurse Practitioner · Humble, TX
NPI 1578366282 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1578366282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- Legal business name
- CYPREXHEALTH LLC
- Practice address
- 242 1St St W
Humble, TX 77338-3617 - Phone
- (832) 428-3007
- NPI assigned
- Mar 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Cyprine Manduku, APRN
- Title
- Owner
- Phone
- (832) 428-3007
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250610000717 | TX | Part B Supplier - Clinic/Group Practice | 2163932195 |
Receives reassigned benefits from 1 practitioner Practice locations: Humble, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | Yes |
Addresses
Primary practice location
242 1St St W
Humble, TX 77338-3617
Mailing address
242 1St St W
Humble, TX 77338-3617
Phone (832) 428-3007
NPI Registry JSON
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1578366282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 1ST ST W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383617",
"telephone_number": "832-428-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 1ST ST W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383617",
"telephone_number": "832-428-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPREXHEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-28",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "MANDUKU",
"authorized_official_first_name": "CYPRINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-428-3007",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- CVS Pharmacy Inc.
- Bailey J Cyprowski
- Lori Cyr
- Michael Czar
- D. Martin Chiropractic and Rehabilitation, LLC
- D'Altavilla Enterprises, PLLC
All providers in Humble, TX · Gerontology Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.