Dominga Made

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1033925 Issued in TX

Practice address

2912 Mangum Rd Unit a
Houston, TX 77092-7408

Phone

(832) 740-4107

NPI assigned

Apr 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1679524961
  Medicare reassignment NPD
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
  • NPI 1609762889
  NPD
• Stephens Family Healthcare Inc

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1215404942
  NPD

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1881275261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 LONESOME RIDGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984894",
            "telephone_number": "813-446-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 MANGUM RD UNIT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927408",
            "telephone_number": "832-740-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADE",
        "first_name": "DOMINGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Maddux
• Made With Barakah, LLC
• Made Ya Smile Eldridge Lakes
• Made Ya Smile Spring Cypress PLLC
• Made Ya Smile West Eight Crossing PLLC
• Naomi Madell-Hernandez, LMFT
• Danielle D Madera, PH.D
• Karina Giselle Madera
• John E. Madewell, M.D.
• Rachel S Madey, MD

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.