Individual provider Active NPI

Maria Theresa Uy Quiambao, MSN, APRN, FNP-C

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1619344660
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP128561 Issued in TX
Practice address
134 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3030
Phone
(832) 334-7756
Fax
(832) 301-0825
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128561 TX
Acute Care Nurse Practitioner 363LA2100X AP128561 TX Primary

Addresses

Primary practice location

134 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3030

Mailing address

134 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3030
Phone (832) 334-7756

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
I20160906000124 TX Practitioner - Nurse Practitioner 9335435163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

134 Vision Park Blvd
Suite 350
Shenandoah, TX 77384-3029
Phone (936) 447-9452

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128561TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Feb 16, 2022 Accepting new patients
The Vein Center LLC Current Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Feb 16, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

134 Vision Park Blvd
Ste 130
Shenandoah, TX 77384
Phone (832) 334-7756

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

26940 Kuykendahl Rd
Ste 110
Tomball, TX 77375
Phone (832) 334-7756

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • Direct secure messaging: maria.uy.quiambao.1@8042.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1619344660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843030",
            "telephone_number": "832-334-7756",
            "fax_number": "832-301-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843030",
            "telephone_number": "832-334-7756",
            "fax_number": "832-301-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY QUIAMBAO",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-07-09",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128561",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP128561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.