Maria Teresa Cordovi Pena

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11006169 Issued in FL

Practice address

5450 Timber Creek Place Dr Apt 1007
Houston, TX 77084-6657

Phone

(786) 757-9524

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amd Freedom Enterprises, Inc

  • General Practice Physician
  • Cleveland, TX
  • NPI 1538801923
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1730793175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 TIMBER CREEK PLACE DR APT 1007",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846657",
            "telephone_number": "786-757-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 TIMBER CREEK PLACE DR APT 1007",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846657",
            "telephone_number": "786-757-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVI PENA",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "11006169",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Houston",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Houston",
            "address_1": "5450 Timber Creek Place Dr Apt 1007",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770846657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Cordova
• Jorge C Cordova, LCSW
• Maeli Cordova
• Natalie A Cordova, DC
• Philip Vincent Cordova, D.C.
• Edwin Earl Cordray, D.D.S.
• Lucia Cordua, LICENSED ACUPUNCTURI
• Core Behavior LLC
• Core Chiropractic Greenway Plaza
• Core Chiropractic Inc

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.