Individual provider Active NPI

Antonio S Estrada Cimadevila Sr.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1861273021
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1016614 Issued in TX
Practice address
6711 Rampart St Ste 108
Houston, TX 77081-4265
Phone
(832) 731-7496
NPI assigned
Oct 12, 2023
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 1016614 TX Primary

Addresses

Primary practice location

6711 Rampart St Ste 108
Houston, TX 77081-4265

Mailing address

21650 Highland Knolls Dr
Katy, TX 77450-5387
Phone (832) 683-3481

Other practice location 1

16251 S Post Oak Rd
Houston, TX 77053-4398
Phone (281) 437-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yaleton Inc CurrentSince Oct 6, 2024 Accepting new patients
Yaleton ABA Center of Texas LLC Current Accepting new patients

Locations

16251 S Post Oak Rd
Houston, TX 77053
Phone (281) 437-4142

6711 Rampart St
Ste 108
Houston, TX 77081
Phone (713) 660-9026

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1861273021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21650 HIGHLAND KNOLLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505387",
            "telephone_number": "832-683-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 RAMPART ST STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814265",
            "telephone_number": "832-731-7496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16251 S Post Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770534398",
            "country_code": "US",
            "telephone_number": "281-437-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA CIMADEVILA",
        "first_name": "ANTONIO",
        "middle_name": "S",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.