Individual provider Active NPI

Marquita Casely-Hayford, APRN

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1649663105
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP128144 Issued in TX
Practice address
8610 Martin Luther King Blvd
Houston, TX 77033-2308
Phone
(713) 734-0199
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 174458 TX
Primary Care Nurse Practitioner 363LP2300X AP128144 TX Primary

Addresses

Primary practice location

8610 Martin Luther King Blvd
Houston, TX 77033-2308

Mailing address

9007 Andes Ridge LN
Richmond, TX 77407-1694
Phone (601) 316-7088

Other practice location 1

905 N Gulf Blvd
Freeport, TX 77541-3907
Phone (979) 239-1633

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
I20190205000387 TX Practitioner - Nurse Practitioner 6305121377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 558-3444

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174458TXMDFamily Nurse Practitioner
AP128144TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Express of the Beaumont Area PA CurrentSince Apr 22, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients
Harris County Public Health and Environmental Services - Hit Past Accepting new patients
South Central Houston Action Council, Inc. Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

107 Yale St
Ste 200
Houston, TX 77007
Phone (713) 561-3546

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1649663105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 ANDES RIDGE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071694",
            "telephone_number": "601-316-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332308",
            "telephone_number": "713-734-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 N Gulf Blvd",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "TX",
            "postal_code": "775413907",
            "country_code": "US",
            "telephone_number": "979-239-1633",
            "fax_number": "877-489-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASELY-HAYFORD",
        "first_name": "MARQUITA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "174458",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP128144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.