Individual provider Active NPI

Marie E. Weidman-Johnson, NP

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1467664557
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP110633 Issued in TX
Practice address
6565 Fannin St # DB1-077
Houston, TX 77030
Phone
(713) 441-4800
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 536615 TX
Women's Health Nurse Practitioner 363LW0102X 536615 TX
Adult Health Nurse Practitioner 363LA2200X AP110633 TX Primary

Addresses

Primary practice location

6565 Fannin St # DB1-077
Houston, TX 77030

Mailing address

6565 Fannin St # DB1-077
Houston, TX 77030-2703
Phone (713) 441-4800

Other practice location 1

6565 Fannin St
DB1-077
Houston, TX 77030-2703
Phone (713) 441-4800

Other practice location 2

6565 Fannin St
DB1-077
Houston, TX 77030-2703
Phone (713) 441-4800

Other identifiers 3

IdentifierTypeStateIssuer
1467664557OtherTXBLUE CROSS BLUE SHIELD
175916902MedicaidTX
TP1-175916901MedicaidTX

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
I20050408000808 TX Practitioner - Nurse Practitioner 3971540253 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
536615TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 5, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 5, 2019 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6565 Fannin St
#1007
Houston, TX 77030
Phone (713) 441-4800

6550 Fannin St
Houston, TX 77030
Phone (713) 363-9604

6565 Fannin St
Ste DB1077
Houston, TX 77030
Phone (713) 441-4800

6550 Fannin St
Ste 1801
Houston, TX 77030
Phone (713) 798-5975

18100 Houston Methodist Dr
Ste 150
Houston, TX 77058
Phone (281) 333-8899

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1467664557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST # DB1-077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST # DB1-077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-441-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_2": "DB1-077",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-4800",
            "fax_number": "713-441-4493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Fannin St",
            "address_2": "DB1-077",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-4800",
            "fax_number": "713-441-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDMAN-JOHNSON",
        "first_name": "MARIE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "536615",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "536615",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP110633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1467664557",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175916902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TP1-175916901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.