Individual provider Active NPI

Caroline N Marchie, APRN

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1427631373
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019054 Issued in TX
Practice address
2119 W Grove LN
Grand Prairie, TX 75052-8846
Phone
(214) 738-9560
NPI assigned
Apr 29, 2021
Last updated
Sep 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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 1019054 TX Primary

Addresses

Primary practice location

2119 W Grove LN
Grand Prairie, TX 75052-8846

Mailing address

6915 West Ave
Clinic 7306
Castle Hill, TX 78213-1822
Phone (210) 341-1487

Other names 1

  • Miss Caroline N Ejindu Former name

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
I20211009000165 TX Practitioner - Nurse Practitioner 1850799594 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 1, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 1, 2021 Accepting new patients
CVS Pharmacy Inc PastSince Sep 28, 2021 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1427631373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 WEST AVE",
            "address_2": "CLINIC 7306",
            "city": "CASTLE HILL",
            "state": "TX",
            "postal_code": "782131822",
            "telephone_number": "210-341-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 W GROVE LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528846",
            "telephone_number": "214-738-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIE",
        "first_name": "CAROLINE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "EJINDU",
            "middle_name": "N",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.