Marya Jo Wright, RN PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

638111 Issued in TX

Practice address

918 S Interstate 35
Georgetown, TX 78628-4127

Phone

(512) 535-3777

NPI assigned

Oct 27, 2010

Last updated

Nov 24, 2023By the provider in NPPES

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 names 1

• Marya Jo Rodriguez Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych Dimensions IncGroup PAC ID 0143589739, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psych Dimensions Inc

  • Psychiatry Physician
  • Georgetown, TX
  • NPI 1538534086
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1427358274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S INTERSTATE 35",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284127",
            "telephone_number": "512-535-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 S INTERSTATE 35",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284127",
            "telephone_number": "512-535-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARYA",
        "middle_name": "JO",
        "credential": "RN PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "638111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYA",
            "last_name": "RODRIGUEZ",
            "middle_name": "JO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Worsham
• Destiny Wright Tennon
• Carly Ann Wright
• Eric Wright, PHARMD
• Jessie Foore Wright
• Shania Wright
• Roxie Wurtz, LMSW
• Madison Gaylor Wyatt, MS, RDN, LD
• Hannah Diane Wycoff, M.S.
• Xiaohui Xu

• Psychiatric/Mental Health Nurse Practitioner in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.