Thessalanica Kay Marcum, STUDENT FAMILY NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

705045 Issued in TX

Practice address

6107 Forest Timber St
San Antonio, TX 78240-3357

Phone

(210) 527-7534

NPI assigned

Apr 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1487458725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 FOREST TIMBER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403357",
            "telephone_number": "210-527-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 FOREST TIMBER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403357",
            "telephone_number": "210-527-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "THESSALANICA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "STUDENT FAMILY NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "705045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Leticia Marcon, LPC
• Eleanor Lee Marcos, RN
• Yolanda Marcos, MD
• Meredith Marcotte
• Chloe Taeko Marcucci, STUDENT INTERN
• Dan Marcuse, D.D.S.
• Mauricio Marcushamer, DDS
• Maredia Family Eyecare, PLLC
• Nazia N Maredia, O.D.
• Marisol Marentes

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.