Individual provider Active NPI

Marla Fabiola Chaires, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1427452838
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126607 Issued in TX
Practice address
1710 E Saunders St
Laredo, TX 78041-5443
Phone
(956) 794-8880
NPI assigned
Oct 14, 2014
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126607 TX Primary

Addresses

Primary practice location

1710 E Saunders St
Laredo, TX 78041-5443

Mailing address

209 Belaire Dr
Laredo, TX 78041-2306
Phone (956) 251-4461

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160422000331 TX Practitioner - Nurse Practitioner 3971802109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Physicians GroupGroup PAC ID 1355582461, 22 clinicians

Practice addresses (Care Compare)

10710 McPherson Rd
Suite 304
Laredo, TX 78045-6271
Phone (956) 489-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.29 of 100Reported as group
Quality
49.68
Improvement activities
0
Cost
79.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126607TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Physicians Group CurrentSince Mar 6, 2023 Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients

Locations

10710 McPherson Rd
Ste 301
Laredo, TX 78045
Phone (956) 462-1991

10710 McPherson Rd
Ste 304
Laredo, TX 78045
Phone (956) 462-1991

6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1427452838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BELAIRE DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412306",
            "telephone_number": "956-251-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415443",
            "telephone_number": "956-794-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIRES",
        "first_name": "MARLA",
        "middle_name": "FABIOLA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.