Active NPI
Maria M Cole FNP-BC PC
- Family Nurse Practitioner
- Odessa, TX
National Provider Identifier
1215230461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1110172
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Family Nurse Practitioner
- Odessa, TX
- NPI 1518292077
-
- Family Nurse Practitioner
- Odessa, TX
- NPI 1043809387
-
- Family Nurse Practitioner
- Odessa, TX
- NPI 1760785075
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.