Individual provider Active NPI

Maribel Navarro Renovato, CNA

  • Nurse's Aide
  • Round Rock, TX
National Provider Identifier
1366959025
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA0008463073 Issued in TX
Practice address
1500 Lawnmont Dr Apt 111
Round Rock, TX 78664-6674
Phone
(915) 850-8402
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X NA0008463073 TX Primary

Addresses

Primary practice location

1500 Lawnmont Dr Apt 111
Round Rock, TX 78664-6674

Mailing address

1500 Lawnmont Dr Apt 111
Round Rock, TX 78664-6674
Phone (915) 850-8402

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

LicenseStateTypeSpecialty
NA0008463073TXMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1366959025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAWNMONT DR APT 111",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646674",
            "telephone_number": "915-850-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAWNMONT DR APT 111",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646674",
            "telephone_number": "915-850-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENOVATO",
        "first_name": "MARIBEL",
        "middle_name": "NAVARRO",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0008463073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.