Individual provider Active NPI

Stephane Cyriaque, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1780192633
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134691 Issued in TX
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

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Oct 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 24, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jan 14, 2023 Accepting new patients
Regional Physician Services of Texas, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 24, 2024 Accepting new patients
Easy Health Medical Solutions PC CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.