Leah Renee Marvel

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

925196 Issued in TX

Practice address

400 N Loop 1604 E Ste 350
San Antonio, TX 78232-1289

Phone

(210) 255-1466

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• San Rafael Healthcare, Inc

  • Home Health Agency
  • San Antonio, TX
  • NPI 1487996096
  NPD (past)

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1023579059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 PRUE RD APT 2305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402781",
            "telephone_number": "210-213-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321289",
            "telephone_number": "210-255-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "LEAH",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "925196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Kame Martins
• Chrisanne A Martone
• Sarah Little Marucci
• Juan Pablo Marusich, M.D.
• Leah Marut
• Tracy Marvin
• Sajidah Marwat-Khan, PHARMD
• Alvin J. Marx, M.D.
• Emily Triana Marx, M.D.
• Gloria Marx, OT

• Pediatric Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.