Johnatan Mariano, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP126703 Issued in TX

Practice address

1001 Robbie Mince Way
Desoto, TX 75115-2012

Phone

(972) 709-7190

Fax

(214) 941-1765

NPI assigned

Jan 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart360 Specialists PCGroup PAC ID 1658765243, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 9202-mariano-johnathan@direct.leadingreach.com
• Direct secure messaging: johnatan.mariano@hca7.eclinicaldirectplus.com

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.

• Heart360 Specialists PC

  • Cardiovascular Disease Physician
  • North Richland Hills, TX
  • NPI 1205587029
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1588053409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 DAVIS BLVD STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828604",
            "telephone_number": "817-953-8450",
            "fax_number": "844-643-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROBBIE MINCE WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152012",
            "telephone_number": "972-709-7190",
            "fax_number": "214-941-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8479 Davis Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828604",
            "country_code": "US",
            "telephone_number": "817-953-8450",
            "fax_number": "844-643-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8479 Davis Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828604",
            "country_code": "US",
            "telephone_number": "817-953-8450",
            "fax_number": "844-643-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "JOHNATAN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHNATAN.MARIANO@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8479 Davis Blvd Ste 100",
            "city": "North Richland Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761828604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Nicole Manning, LPCI
• Manor Assisted Care LLC
• Larry Clinton Marable I, LCDC
• Albert Marban, PT
• Margaret & Pathana'S Promise House LLC
• Mark D. Towns, MD, Louis Hunke MD, Thomas Deacon MD
• Herbert R Marsh Jr., D.D.S.
• Nova Marshall
• Martha a. Breckenridge
• Jessica Martin

• Adult Health Nurse Practitioner in Desoto, TX
• Providers in Desoto, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.