Active NPI
Marianne Elizabeth Youngblood, FNP-C
- Family Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP127606
- Practice address
- 6510 Folsom Dr
Beaumont, TX 77706-7274 - Phone
- (409) 832-6545
- Fax
- (409) 832-7494
- NPI assigned
- Mar 5, 2015
- Last updated
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP127606 | TX | Primary |
Addresses
Primary practice location
6510 Folsom Dr
Beaumont, TX 77706-7274
Mailing address
6510 Folsom Dr
Beaumont, TX 77706-7274
Phone (409) 832-6545
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 N Broadway St
China, TX 77613-2715
Phone (409) 752-2301
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP127606 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Physician Network | Current | Accepting new patients | |
| Broussard Family Practice, PLLC | Family | Past | Accepting new patients |
Locations
3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300
3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922
6450 Folsom Dr
Beaumont, TX 77706
Phone (409) 835-0524
810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933
Interoperability endpoints
- marianne.youngblood@bpn.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Specialist
- Beaumont, TX
- NPI 1558485532
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
dba TheraCare Home Health
- Home Health Agency
- San Antonio, TX
- NPI 1356782536
-
dba CHRISTUS Southeast Texas - St. Elizabeth
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
-
dba Texas Home Health Skilled Services
- Home Health Agency
- Desoto, TX
- NPI 1801880554
-
dba AccentCare Home Health of Texas
- Home Health Agency
- Beaumont, TX
- NPI 1891918942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1033502745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 FOLSOM DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067274",
"telephone_number": "409-832-6545",
"fax_number": "409-832-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 FOLSOM DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067274",
"telephone_number": "409-832-6545",
"fax_number": "409-832-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "MARIANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP127606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.