Individual provider Active NPI

Everett Nievera, MD

  • Pediatrics Physician
  • Brownsville, TX
National Provider Identifier
1629035274
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0880 Issued in TX
Practice address
2501 Paredes Line Rd
Ste A10
Brownsville, TX 78526-1193
Phone
(956) 544-4700
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0880 TX Primary

Addresses

Primary practice location

2501 Paredes Line Rd
Ste A10
Brownsville, TX 78526-1193

Mailing address

1201 Calle Milagros
Brownsville, TX 78526-1361
Phone (956) 544-4700

Other identifiers 1

IdentifierTypeStateIssuer
142274302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L0880TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haydee Te Nievera, M.D., PA Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1629035274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CALLE MILAGROS",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261361",
            "telephone_number": "956-544-4700",
            "fax_number": "956-544-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PAREDES LINE RD",
            "address_2": "STE A10",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261193",
            "telephone_number": "956-544-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVERA",
        "first_name": "EVERETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142274302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.