Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mayra Cruz Koedam, FNP-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346695178

MS. Mayra Cruz Koedam, FNP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with Brightside Medical PC, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Dallas, TX
Fax: (214) 345-8229

No coordinates on file. Search this address in Google Maps

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP130975 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346695178
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 29, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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