Juanita Agustin Mariano, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP133717 Issued in TX

Practice address

4201 Garth Rd Ste 307
Baytown, TX 77521

Phone

(832) 556-6046

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmariano158365@directhoustonmethodist.org

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

• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Houston Methodist

  • Nurse Practitioner
  • Houston, TX
  • NPI 1992178693
  NPD (past)
• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117

  Nurse Practitioner

  NPD (past)

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

• San Jacinto Methodist Hospital

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1891789772
  Care Compare affiliation

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1447424650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 307",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213156",
            "telephone_number": "832-556-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 307",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "832-556-6046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Osborne St",
            "address_2": "Suite 123",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106000",
            "country_code": "US",
            "telephone_number": "203-739-7131",
            "fax_number": "203-739-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Garth Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "77521",
            "country_code": "US",
            "telephone_number": "832-556-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "JUANITA",
        "middle_name": "AGUSTIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003614",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375608201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pierre Manon-Og, AGACNP-BC, RN
• Tariq Mansoor, MD
• Manuel Perez
• Tammy Marek, LPC
• Margette Dialysis LLC
• Marilyn K Shroyer Ms LPC Counseling
• Marisol Mendez Therapy, PLLC
• Charleigh Clayton Marks
• Jose Luis Marquez, APRN
• Stephanie Marquez

• Nurse Practitioner in Baytown, TX
• Providers in Baytown, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.