NPIMap

Individual provider Active NPI

Elizabeth Mathew, FNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1750668158
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131695 Issued in TX
Practice address
4615 Fairmont Pkwy # 100
Pasadena, TX 77504-3311
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00350800 NJ
Family Nurse Practitioner 363LF0000X AP131695 TX Primary

Addresses

Primary practice location

4615 Fairmont Pkwy # 100
Pasadena, TX 77504-3311

Mailing address

4650 Westway Park Blvd Ste 206
Houston, TX 77041-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001906 TX Practitioner - Nurse Practitioner 7113154097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

925 N Shepherd Dr
Ut Physicians Specialty Services Heights CL
Houston, TX 77008-6526
Phone (713) 486-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131695TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 10, 2024 Accepting new patients
Ut Physicians Specialty Services CurrentSince Aug 11, 2024 Accepting new patients
Ut Physicians CurrentSince Jun 10, 2024 Accepting new patients
Golding Granado Medical Associates PastSince Dec 15, 2018 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (832) 325-6500

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

925 N Shepherd Dr
Houston, TX 77008
Phone (713) 486-7200

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

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 8

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750668158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 WESTWAY PARK BLVD STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770412006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 FAIRMONT PKWY # 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043311",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00350800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.