Active NPI
Elizabeth Marcelle Tammariello
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1053205591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1031267
- Practice address
- 5818 Balcones Dr Ste 200D
Austin, TX 78731-4278 - Phone
- (512) 400-2042
- NPI assigned
- Jun 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1031267 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5818 Balcones Dr Ste 200D
Austin, TX 78731-4278
Mailing address
5803 Blanco River Pass
Austin, TX 78749-2837
Phone (337) 371-0374
Other practice location 1
5803 Blanco River Pass
Austin, TX 78749-2837
Phone (337) 371-0374
Other practice location 2
1600 W 38th St Ste 100
Austin, TX 78731-6404
Phone (512) 458-5323
Other names 1
- Mrs. Marcelle Tammariello Dyas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031267 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1053205591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 BLANCO RIVER PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787492837",
"telephone_number": "337-371-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5818 BALCONES DR STE 200D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314278",
"telephone_number": "512-400-2042"
}
],
"practiceLocations": [
{
"address_1": "5803 Blanco River Pass",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787492837",
"country_code": "US",
"telephone_number": "337-371-0374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 W 38th St Ste 100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787316404",
"country_code": "US",
"telephone_number": "512-458-5323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAMMARIELLO",
"first_name": "ELIZABETH",
"middle_name": "MARCELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1031267",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCELLE",
"last_name": "DYAS",
"middle_name": "TAMMARIELLO",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.