Organization Active NPI

Maria M Cole FNP-BC PC

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1215230461
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1110172 Issued in TX
Legal business name
MARIA M COLE FNP-BC PC
Practice address
5031 Wayland Dr
Odessa, TX 79762-5534
Phone
(432) 580-7320
Fax
(432) 580-7318
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Jessica Duarte
Title
Office Manager
Phone
(423) 580-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F1110172 TX Primary

Addresses

Primary practice location

5031 Wayland Dr
Odessa, TX 79762-5534

Mailing address

2900 San Saba CT
Odessa, TX 79765-5001
Phone (432) 580-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110309000076 TX Part B Supplier - Clinic/Group Practice 6002098258 Receives reassigned benefits from 3 practitioners
Practice locations: Odessa, TX

National Provider Directory

National Provider Directory

Locations

5031 Wayland Dr
Odessa, TX 79762
Phone (432) 580-7320

617 N Tom Green Ave
#A
Odessa, TX 79761
Phone (432) 580-4422

6110 Eastridge Rd
Odessa, TX 79762
Phone (432) 272-1072

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6328/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1215230461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SAN SABA CT",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797655001",
            "telephone_number": "432-580-7320",
            "fax_number": "432-580-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 WAYLAND DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625534",
            "telephone_number": "432-580-7320",
            "fax_number": "432-580-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA M COLE FNP-BC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-580-7320"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F1110172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.