Individual provider Active NPI

Maryanne M Doran

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1609279801
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
126528 Issued in TX
Practice address
916 E Hackberry Ave
McAllen, TX 78501-5737
Phone
(956) 688-3700
Fax
(956) 618-3718
NPI assigned
Oct 1, 2014
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 126528 TX Primary

Addresses

Primary practice location

916 E Hackberry Ave
McAllen, TX 78501-5737

Mailing address

3220 S Jackson Rd
Edinburg, TX 78539-6666
Phone (956) 380-1833

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
I20190917002457 TX Practitioner - Nurse Practitioner 8325377302 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126528TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Elena Rodriguez, M.D. P.a. CurrentSince Aug 13, 2019 Accepting new patients

Locations

3220 S Jackson Rd
Edinburg, TX 78539
Phone (956) 380-1833

Organizations & group practices 1

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1609279801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396666",
            "telephone_number": "956-380-1833",
            "fax_number": "956-380-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015737",
            "telephone_number": "956-688-3700",
            "fax_number": "956-618-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "MARYANNE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "126528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.