Individual provider Active NPI

Marla Kay English-Pickett, GNP

  • Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1013163013
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
565703 Issued in TX
Practice address
16060 Broadleaf
Texarkana, TX 75503-9607
Phone
(903) 838-0031
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 565703 TX Primary
Gerontology Clinical Nurse Specialist 364SG0600X 55703 TX

Addresses

Primary practice location

16060 Broadleaf
Texarkana, TX 75503-9607

Mailing address

16060 Broadleaf
Texarkana, TX 75503-9607
Phone (903) 838-0031

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
I20081022000465 TX Practitioner - Nurse Practitioner 0345308185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55703TXMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookridge Internal Medicine Associates, PA CurrentSince Jan 1, 2016 Accepting new patients
Jacqueline S O'Donald, M.D., PA Past Accepting new patients
Jerome Watson LLC Nurse Practitioner Past Accepting new patients

Locations

300 N 3rd St
Longview, TX 75601
Phone (903) 315-2907

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1013163013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16060 BROADLEAF",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039607",
            "telephone_number": "903-838-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16060 BROADLEAF",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039607",
            "telephone_number": "903-838-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH-PICKETT",
        "first_name": "MARLA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "565703",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "55703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.