Tanya Veronica Marin, DNP, APRN, CPNP-PC/A

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CNP-02627 Issued in NM

Practice address

1245 Country Club Rd
Suite 200
Santa Teresa, NM 88008-9743

Phone

(575) 332-4633

Fax

(575) 332-4635

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanya.marin@115443077021700.direct.elationemr.com

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.

• Texan Urgent Care PLLC

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1346545209
  NPD
• 915 Pediatrics PLLC

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1114526050
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1699799684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 SNOWHEIGHTS CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123801",
            "telephone_number": "915-740-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 COUNTRY CLUB RD",
            "address_2": "SUITE 200",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089743",
            "telephone_number": "575-332-4633",
            "fax_number": "575-332-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "TANYA",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CPNP-PC/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "CNP-02627",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "644173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS",
            "identifier": "644173",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42850002",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Macias
• Valeria Macias, LMHC
• Alma Paulina Magana Lopez
• Megan Maiella
• Marin Telehealth
• Jose Manuel Marques
• Lucia Marquez-Valdepena, NP
• Araceli Marquez
• Jorge Martinez
• Sandra Martinez, PH.D.

• All providers in Santa Teresa, NM
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.