Active NPI
Stephane Cyriaque, FNP
- Family Nurse Practitioner
- Missouri City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134691
- Practice address
- 3003 Texas Pkwy Unit B
Missouri City, TX 77489-5242 - Phone
- (346) 374-8402
- Fax
- (346) 374-7434
- NPI assigned
- Jan 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134691 | TX | Primary |
Addresses
Primary practice location
3003 Texas Pkwy Unit B
Missouri City, TX 77489-5242
Mailing address
3003 Texas Pkwy Unit B
Missouri City, TX 77489-5242
Phone (346) 374-8402
Other practice location 1
9809 Richmond Ave Unit J11
Houston, TX 77042-4573
Phone (305) 979-6155
Other practice location 2
9385 E Washington St
Indianapolis, IN 46229-3029
Phone (306) 979-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, MN, OH, WA, IA, GA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200324000388 | TX | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 3 organizations |
| I20230120000536 | FL | Practitioner - Nurse Practitioner | 7618305756 | |
| I20230120000612 | MN | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 1 organization |
| I20230228002513 | OH | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 3 organizations |
| I20230515002429 | WA | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 2 organizations |
| I20230606002674 | IA | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 1 organization |
| I20260107003830 | GA | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 1 organization |
| I20260528003999 | OR | Practitioner - Nurse Practitioner | 7618305756 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1026 Bayou Meadow Dr
Missouri City, TX 77459-1609
424 Church St
Nashville, TN 37219-2301
845 15TH St
Suite 103
San Diego, CA 92101-8098
PO Box
Suite 6486
Richmond, VA 23230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Regional Physician Services of Texas, P.a. | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Easy Health Medical Solutions PC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024
8605 Santa Monica Blvd
West Hollywood, CA 90069
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
1 W Winter St
Ste 2000
Delaware, OH 43015
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
221 1st Ave W
Ste 200
Seattle, WA 98119
Phone (832) 400-1002
Organizations & group practices 9
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IA, MN, TX, WA
-
- Sleep Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1609767276
OR
-
- Family Medicine Physician
- Irving, TX
- NPI 1326667536
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1780192633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 TEXAS PKWY UNIT B",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774895242",
"telephone_number": "346-374-8402",
"fax_number": "346-374-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 TEXAS PKWY UNIT B",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774895242",
"telephone_number": "346-374-8402",
"fax_number": "346-374-7434"
}
],
"practiceLocations": [
{
"address_1": "9809 Richmond Ave Unit J11",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770424573",
"country_code": "US",
"telephone_number": "305-979-6155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9385 E Washington St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462293029",
"country_code": "US",
"telephone_number": "306-979-6155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CYRIAQUE",
"first_name": "STEPHANE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-12",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.