Individual provider Active NPI

Marley Canterbury, ACNP-AG, AGACNP-BC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043068554
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1058900 Issued in TX
Practice address
2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone
(210) 951-9055
Fax
(210) 951-9066
NPI assigned
May 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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 1058900 TX Primary
Acute Care Nurse Practitioner 363LA2100X 1058900 TX

Addresses

Primary practice location

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009

Mailing address

765 Hollow RDG
Schertz, TX 78108-3441
Phone (615) 854-3371

Other practice location 1

1305 Wonder World Dr Ste 100
San Marcos, TX 78666-7502
Phone (210) 951-9055

Other practice location 2

11212 State Highway 151 Medical Plaza 1 Ste 260
San Antonio, TX 78251
Phone (210) 951-9055

Other practice location 3

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone (210) 951-9055

Other practice location 4

189 E Austin St Ste 101
New Braunfels, TX 78130-4170
Phone (210) 951-9055

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
I20240618002453 TX Practitioner - Nurse Practitioner 0446793590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
Suite 205
San Antonio, TX 78251-4498
Phone (310) 704-4172

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 643-5166

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1058900TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 26, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 26, 2024 Accepting new patients
TN Spine PLLC CurrentSince May 6, 2024 Accepting new patients

Locations

189 E Austin St
Ste 101
New Braunfels, TX 78130
Phone (830) 629-0002

598 N Union Ave
Ste 100
New Braunfels, TX 78130

2829 Babcock Rd
Ste 106
San Antonio, TX 78229
Phone 210951905555522

11212 State Highway 151
Ste 260
San Antonio, TX 78251
Phone (210) 504-4304

2829 Babcock Rd
San Antonio, TX 78229
Phone (210) 450-6570

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: marley.canterbury.1@12711.direct.athenahealth.com
  • Direct secure messaging: mcanterbury397785@christushealth.direct-ci.net

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1043068554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 HOLLOW RDG",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781083441",
            "telephone_number": "615-854-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-951-9055",
            "fax_number": "210-951-9066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Wonder World Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667502",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11212 STATE HIGHWAY 151 MEDICAL PLAZA 1 STE 260",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Babcock Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296009",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 E Austin St Ste 101",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304170",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "MARLEY",
        "name_prefix": "Mrs.",
        "credential": "ACNP-AG, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1058900",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1058900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.