Active NPI
Marjorie Lieser
- Psychiatric/Mental Health Nurse Practitioner
- Round Rock, TX
National Provider Identifier
1639510894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 750971
- Practice address
- 1009 N Georgetown St
Round Rock, TX 78664-3289 - Phone
- (512) 255-1720
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 750971 | TX | Primary |
Addresses
Primary practice location
1009 N Georgetown St
Round Rock, TX 78664-3289
Mailing address
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750971 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1639510894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 N GEORGETOWN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643289",
"telephone_number": "512-255-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N GEORGETOWN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643289",
"telephone_number": "512-255-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIESER",
"first_name": "MARJORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "750971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- Gerard Patrick Liboiron, D.C.
- Tabitha Weber Liboiron, D.C.
- Lice Lice Baby, LLC (Lice Clinics of America Round Rock)
- Ann H Liebbe, APRN
- Janet Liepman, LPC
- Paul James Lietz III, DPT, CSCS
- Life Chats Therapy, PLLC
- Lifetime Vision Care PA
- Lifetime Vision Care Texas, PLLC (Lifetime Vision Care)
- Adelle Light
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.