Individual provider Active NPI

Lievan De Moya Almirall

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1649876111
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020741 Issued in TX
Practice address
9683 Southwest Fwy
Houston, TX 77074-1332
Phone
(832) 623-7347
Fax
(346) 223-0241
NPI assigned
Dec 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1020741 TX
Family Nurse Practitioner 363LF0000X 1020741 TX Primary

Addresses

Primary practice location

9683 Southwest Fwy
Houston, TX 77074-1332

Mailing address

9683 Southwest Fwy
Houston, TX 77074-1332
Phone (832) 623-7347

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

State licenses

LicenseStateTypeSpecialty
1020741TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panamericana Family Medicine Clinic PLLC CurrentSince Nov 17, 2024 Accepting new patients
Leapgen System LLC PastSince Nov 17, 2024 Accepting new patients

Locations

9683 Southwest Fwy
Houston, TX 77074
Phone (832) 623-7347

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17945/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lievan.de.moya.almirall.1@17945.direct.athenahealth.com

Organizations & group practices 2

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1649876111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9683 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741332",
            "telephone_number": "832-623-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9683 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741332",
            "telephone_number": "832-623-7347",
            "fax_number": "346-223-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MOYA ALMIRALL",
        "first_name": "LIEVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1020741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.