Individual provider Active NPI

Maydelis Suarez

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1962048751
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105207 Issued in TX
Practice address
21223 Brookwood Crescent Dr
Katy, TX 77449-2849
Phone
(386) 205-4365
NPI assigned
Nov 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1105207 TX Primary
Registered Nurse 163W00000X 979574 TX

Addresses

Primary practice location

21223 Brookwood Crescent Dr
Katy, TX 77449-2849

Mailing address

21223 Brookwood Crescent Dr
Katy, TX 77449-2849
Phone (386) 205-4365

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
979574TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Primary Care PLLC Current Accepting new patients
Clinica Latina Familiar 2 LLC Family CurrentSince Apr 10, 2024 Accepting new patients
Rubio'S Company LLC Family CurrentSince Feb 8, 2025 Accepting new patients

Locations

6845 Fry Rd
Ste 600
Katy, TX 77449
Phone (281) 861-0232

3016 Fry Rd
Katy, TX 77449
Phone (832) 742-0666

Organizations & group practices 3

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1962048751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21223 BROOKWOOD CRESCENT DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492849",
            "telephone_number": "386-205-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21223 BROOKWOOD CRESCENT DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492849",
            "telephone_number": "386-205-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "MAYDELIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105207",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "979574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.