Individual provider Active NPI

Andy Maldonado, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1871347609
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1157615 Issued in TX
Practice address
3226 Fair Falls Dr
Kingwood, TX 77345-5473
Phone
(956) 459-4447
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 1157615 TX Primary

Addresses

Primary practice location

3226 Fair Falls Dr
Kingwood, TX 77345-5473

Mailing address

3226 Fair Falls Dr
Kingwood, TX 77345-5473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415004086 TX Practitioner - Nurse Practitioner 8123543865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Apr 10, 2025 Accepting new patients
BHS Physicians Network, Inc Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 10, 2025 Accepting new patients
New Medical Horizons II, LTD. Past Accepting new patients

Locations

17270 Red Oak Dr
Ste 200
Houston, TX 77090

5655 W Sam Houston Pkwy N
Houston, TX 77041
Phone (281) 500-8900

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

2255 E Mossy Oaks Rd
Ste 440
Spring, TX 77389

Interoperability endpoints

  • Direct secure messaging: andy.maldonado.1@1438.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1871347609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 FAIR FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773455473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 FAIR FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773455473",
            "telephone_number": "956-459-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ANDY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1157615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.