Individual provider Active NPI

Erika Marin

  • Pediatric Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1659191567
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1177908 Issued in TX
Practice address
1120 E Ridge Rd
McAllen, TX 78503-5490
Phone
(956) 688-1200
NPI assigned
Oct 15, 2024
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1177908 TX Primary

Addresses

Primary practice location

1120 E Ridge Rd
McAllen, TX 78503-5490

Mailing address

1120 E Ridge Rd Ste 220
McAllen, TX 78503-5491
Phone (956) 688-1200

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
I20241106000021 TX Practitioner - Nurse Practitioner 1355875915 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas CurrentSince Nov 1, 2024 Accepting new patients
Children's Physician Services of South Texas CurrentSince Nov 1, 2024 Accepting new patients
Children's Physician Services of South Texas Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 217-3408

1120 E Ridge Rd
McAllen, TX 78503
Phone (956) 688-1200

1120 E Ridge Rd
Ste 220
McAllen, TX 78503
Phone (361) 980-1244

Organizations & group practices 3

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1659191567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E RIDGE RD STE 220",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785035491",
            "telephone_number": "956-688-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E RIDGE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785035490",
            "telephone_number": "956-688-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ERIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1177908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.