Individual provider Active NPI

Amayrany Maya-Mora, APRN

  • Family Nurse Practitioner
  • Del Valle, TX
National Provider Identifier
1962109322
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1107770 Issued in TX
Practice address
7050 El Roy Rd
Del Valle, TX 78617
Phone
(512) 978-9760
Fax
(512) 901-9743
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 1107770 TX Primary

Addresses

Primary practice location

7050 El Roy Rd
Del Valle, TX 78617

Mailing address

209 Andover LN
Uhland, TX 78640-2871

Other practice location 1

13740 N Hwy 183 Ste J1
Austin, TX 78750-1832
Phone (469) 238-2308

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
I20230712000355 TX Practitioner - Nurse Practitioner 3577923366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2529 S 1St St
Austin, TX 78704-5466
Phone (512) 978-9865

7050 Elroy Rd
Del Valle, TX 78617-3505
Phone (512) 978-9760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1107770TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers Family CurrentSince Jul 27, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Jul 27, 2025 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

2529 S 1st St
Austin, TX 78704
Phone (512) 972-4722

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

7050 Elroy Rd
Del Valle, TX 78617
Phone (512) 978-9760

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1962109322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ANDOVER LN",
            "city": "UHLAND",
            "state": "TX",
            "postal_code": "786402871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 EL ROY RD",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617",
            "telephone_number": "512-978-9760",
            "fax_number": "512-901-9743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13740 N Hwy 183 Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787501832",
            "country_code": "US",
            "telephone_number": "469-238-2308",
            "fax_number": "512-359-3961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYA-MORA",
        "first_name": "AMAYRANY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1107770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Valle, TX

Sources for this page

Verify at the official NPI Registry.