Individual provider Active NPI

Irma Marriott, NP

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1467758730
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
625642 Issued in TX
Practice address
2502 E. Richardson
Edinburg, TX 78539-8541
Phone
(956) 380-4477
Fax
(956) 380-4478
NPI assigned
Feb 4, 2011
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 625642 TX Primary
Women's Health Clinical Nurse Specialist 364SW0102X 625642 TX

Addresses

Primary practice location

2502 E. Richardson
Edinburg, TX 78539-8541

Mailing address

17198 St Lukes Way Ste 440
The Woodlands, TX 77384-8015

Other practice location 1

17198 St Lukes Way Ste 440
The Woodlands, TX 77384-8015
Phone (936) 266-2650

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
I20120619000460 TX Practitioner - Nurse Practitioner 9537331749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Gholam a Kiani M.D.,P.a.Group PAC ID 7517237100, 5 clinicians

Practice addresses (Care Compare)

5121 N Jackson Rd
Suite 10
McAllen, TX 78504-6343

5121 N Jackson Rd
Suite 10
McAllen, TX 78504-6758
Phone (956) 803-0401

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gholam a. Kiani M.D.,P.a. CurrentSince Jan 8, 2025 Accepting new patients
Columbia Rio Grande Healthcare, L.P. Past Accepting new patients

Locations

5121 N Jackson Rd
Ste 10
McAllen, TX 78504
Phone (956) 803-0401

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1467758730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY STE 440",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E. RICHARDSON",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398541",
            "telephone_number": "956-380-4477",
            "fax_number": "956-380-4478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17198 St Lukes Way Ste 440",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773848015",
            "country_code": "US",
            "telephone_number": "936-266-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "IRMA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "625642",
            "primary": true
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "TX",
            "license": "625642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.