Individual provider Active NPI

Marilyn S. Sobeck, RN,MS,FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1689692394
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
614680 Issued in TX
Practice address
3840 Inverness Dr
Beaumont, TX 77707-5454
Phone
(409) 840-9903
NPI assigned
Jul 18, 2006
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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 614680 TX Primary
Family Nurse Practitioner 363LF0000X 4704271101 MI

Addresses

Primary practice location

3840 Inverness Dr
Beaumont, TX 77707-5454

Mailing address

3840 Inverness Dr
Beaumont, TX 77707-5454
Phone (409) 840-9903

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)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704271101MIMDFamily Nurse Practitioner
614680TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1689692394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 INVERNESS DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777075454",
            "telephone_number": "409-840-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 INVERNESS DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777075454",
            "telephone_number": "409-840-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBECK",
        "first_name": "MARILYN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "RN,MS,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "614680",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.