Individual provider Active NPI

Kevin Wayne Malone Sr., FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1639832785
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145660 Issued in TX
Practice address
8544 W Bellfort Ave # 606
Houston, TX 77071-2208
Phone
(713) 399-6669
Fax
(888) 892-4091
NPI assigned
Oct 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 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 AP145660 TX Primary

Addresses

Primary practice location

8544 W Bellfort Ave # 606
Houston, TX 77071-2208

Mailing address

8544 W Bellfort Ave # 606
Houston, TX 77071-2208
Phone (713) 399-6669

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
I20220309001073 TX Practitioner - Nurse Practitioner 9931594926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

12740 Memorial Dr
Houston, TX 77024-4861
Phone (832) 658-3110

20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628

2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458

30129 Rock Creek Dr
Suite 200
Kingwood, TX 77339-2868
Phone (346) 477-8144

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

8035 Hwy 6
Suite 170
Missouri City, TX 77459-4138
Phone (346) 439-7481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145660TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Physician Associates CurrentSince Nov 27, 2021 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Feb 6, 2023 Accepting new patients
Brazos Medical Center Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

9380 W Sam Houston Pkwy S
Ste 300
Houston, TX 77099
Phone (832) 320-3174

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 3

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639832785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 W BELLFORT AVE # 606",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712208",
            "telephone_number": "713-399-6669",
            "fax_number": "888-892-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8544 W BELLFORT AVE # 606",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712208",
            "telephone_number": "713-399-6669",
            "fax_number": "888-892-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.