Organization Active NPI

Mem Health Promotion Services LLC

  • Adult Health Nurse Practitioner
  • Aubrey, TX
National Provider Identifier
1245022946
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
MEM HEALTH PROMOTION SERVICES LLC
Practice address
1736 Blakely PL
Aubrey, TX 76227-4592
Phone
(254) 236-5079
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Marva Edwards-Marshall, DNP, ANP-BCNPI 1861491565
Title
Owner
Phone
(254) 236-5079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1736 Blakely PL
Aubrey, TX 76227-4592

Mailing address

17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Phone (254) 236-5079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250926001658 TX Part B Supplier - Clinic/Group Practice 4183129489 Receives reassigned benefits from 1 practitioner
Practice locations: Aubrey, TX
O20251023002375 FL Part B Supplier - Clinic/Group Practice 4183129489 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

720 E New Haven Ave
Ste 11
Melbourne, FL 32901
Phone (254) 236-5079

Practitioners & affiliated clinicians

Practitioners 1

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": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1245022946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641132",
            "telephone_number": "254-236-5079",
            "fax_number": "949-864-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 BLAKELY PL",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762274592",
            "telephone_number": "254-236-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEM HEALTH PROMOTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS-MARSHALL",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-236-5079",
        "authorized_official_credential": "DNP,  ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.