Individual provider Active NPI

Iolani Mae S Aves

  • Nurse Practitioner
  • Brookshire, TX
National Provider Identifier
1710464748
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138328 Issued in TX
Practice address
30575 Kingsland Blvd # 150
Brookshire, TX 77423-2844
Phone
(281) 717-4674
Fax
(833) 318-0533
NPI assigned
Jul 23, 2018
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP138328 TX Primary
Family Nurse Practitioner 363LF0000X 716162 TX

Addresses

Primary practice location

30575 Kingsland Blvd # 150
Brookshire, TX 77423-2844

Mailing address

9019 Acorn Harvest TRL
Richmond, TX 77407-1315

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
I20181010002936 TX Practitioner - Nurse Practitioner 3779682810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Medical Clinic LLCGroup PAC ID 2163898511, 2 clinicians

Practice addresses (Care Compare)

30575 Kingsland Blvd
Suite 150
Brookshire, TX 77423-2844
Phone (346) 477-4686

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138328TXMDNurse Practitioner
716162TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Bernard Primemed Clinic CurrentSince Aug 1, 2025 Accepting new patients
Richmond Primemed Clinic,LLC CurrentSince Feb 2, 2025 Accepting new patients
Sealy Urgent Care Center P.a. CurrentSince Feb 23, 2019 Accepting new patients
Athena Medical Clinic LLC Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients

Locations

30575 Kingsland Blvd
Ste 150
Brookshire, TX 77423
Phone (281) 717-4674

876 S Dill St
East Bernard, TX 77435
Phone (979) 217-7758

8818 Harlem Rd
Ste 300
Richmond, TX 77407
Phone (407) 579-8620

1036 N Circle Dr
Ste 101
Sealy, TX 77474
Phone (979) 627-6224

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

Hospital & facility affiliations 1

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1710464748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 ACORN HARVEST TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 KINGSLAND BLVD # 150",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774232844",
            "telephone_number": "281-717-4674",
            "fax_number": "833-318-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVES",
        "first_name": "IOLANI MAE",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138328",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "716162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookshire, TX

Sources for this page

Verify at the official NPI Registry.