Individual provider Active NPI

Nidya Lopez Yi, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1659143386
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1141732 Issued in TX
Practice address
21212 Northwest Fwy Ste 365
Cypress, TX 77429-5890
Phone
(134) 006-3257
NPI assigned
Oct 25, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1141732 TX Primary
Critical Care Medicine Registered Nurse 163WC0200X 823360 TX

Addresses

Primary practice location

21212 Northwest Fwy Ste 365
Cypress, TX 77429-5890

Mailing address

21212 Northwest Fwy Ste 365
Cypress, TX 77429-5890
Phone (713) 400-6325

Other practice location 1

21214 Northwest Fwy
Cypress, TX 77429-2105
Phone (832) 912-3500

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
I20240327003351 TX Practitioner - Nurse Practitioner 1153768056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
823360TXMDCritical Care Medicine Registered Nurse
1141732TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgeons of Houston, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

21212 Northwest Fwy
Ste 275
Cypress, TX 77429
Phone (281) 664-8100

21212 Northwest Fwy
Ste 365
Cypress, TX 77429
Phone (713) 771-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1659143386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY STE 365",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295890",
            "telephone_number": "713-400-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY STE 365",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295890",
            "telephone_number": "134-006-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21214 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774292105",
            "country_code": "US",
            "telephone_number": "832-912-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "NIDYA",
        "middle_name": "LOPEZ",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1141732",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "823360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.