Marlyn Y Peters, BSN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

523891 Issued in TX

Practice address

1504 Taub Loop
Houston, TX 77030-1608

Phone

(713) 566-6711

Fax

(713) 440-1200

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1417089772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HOLLY HALL ST",
            "address_2": "ROOM 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544124",
            "telephone_number": "713-566-6711",
            "fax_number": "713-440-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-566-6711",
            "fax_number": "713-440-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARLYN",
        "middle_name": "Y",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "523891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537334-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyishi Peters
• Lori Ann Peters, MD
• Manfred Henry Peters Jr., D.D.S.
• Marcia D Peters, LCSW
• Maria Peters, MS, LPC
• Michelle Peters
• Millicent Peters
• Oluwatobi Peters
• Ralph Richard Peters, LCSW
• Richard J Peters, DC

• Women's Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.