Marlee Chang, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1106612 Issued in TX

Practice address

5085 W Park Blvd Ste 200
Plano, TX 75093-2000

Phone

(972) 665-8484

Fax

(469) 409-4557

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marlee.chang.1@14973.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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.

• Cortica ABA Therapies PA

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1942888508
  NPD (past)
• Cortica Developmental Therapies PA

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1619554680
  NPD (past)
• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)
• Johns Hopkins All Children'S Hospital, Inc

  • Children's Hospital
  • St Petersburg, FL
  • NPI 1427114099
  NPD (past)
• Rady Children'S Hospital San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1851303994
  NPD (past)
• Springtide Child Development, Inc.

  • Behavior Analyst
  • Trumbull, CT
  • NPI 1396383568
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1104353937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE G100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "424-571-2618",
            "fax_number": "424-571-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932000",
            "telephone_number": "972-665-8484",
            "fax_number": "469-409-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Altavista Cir",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338102797",
            "country_code": "US",
            "telephone_number": "615-587-5315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5129 S Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132598",
            "country_code": "US",
            "telephone_number": "863-232-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21515 Hawthorne Blvd Ste G100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036501",
            "country_code": "US",
            "telephone_number": "424-571-2618",
            "fax_number": "424-571-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MARLEE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9321237",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2375770",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95025203",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1106612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles S Chang, M.D.
• Christina Chang, DO
• Christina R Chang, O.D.
• Daisy Chang
• Hung Hsiu Chang, PH.D.
• Shelley Chang, PHARMD
• Change-Well PLLC
• Komal Jahanzaib Channa
• Channing Chiropractic of Frisco, P.a.
• Richard Channing, D.C.

• Pediatric Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.