Individual provider Active NPI

Mary Moran, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1932560232
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130446 Issued in TX
Practice address
110 Cypress Station Dr Ste 248
Houston, TX 77090-1629
Phone
(800) 993-8244
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 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 AP130446 TX Primary

Addresses

Primary practice location

110 Cypress Station Dr Ste 248
Houston, TX 77090-1629

Mailing address

110 Cypress Station Dr Ste 248
Houston, TX 77090-1629
Phone (800) 993-8244

Other practice location 1

602 W Grand Pkwy S
Katy, TX 77494-8328
Phone (281) 392-3808

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171128001933 TX Practitioner - Nurse Practitioner 2264711365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

14317 Cypress Rosehill Rd
Cypress, TX 77429-7801
Phone (346) 646-3619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA CurrentSince Apr 1, 2025 Accepting new patients
Village Family Practice, L.L.P CurrentSince Apr 1, 2025 Accepting new patients

Locations

14317 Cypress Rosehill Rd
Cypress, TX 77429
Phone (346) 646-3619

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

Interoperability endpoints

  • Direct secure messaging: mary.moran.1@13711.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1932560232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CYPRESS STATION DR STE 248",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901629",
            "telephone_number": "800-993-8244",
            "fax_number": "855-538-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CYPRESS STATION DR STE 248",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901629",
            "telephone_number": "800-993-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W Grand Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774948328",
            "country_code": "US",
            "telephone_number": "281-392-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.