Active NPI
Marivic Vergara Tran, NP
- Acute Care Nurse Practitioner
- Houston, TX
National Provider Identifier
1710521737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP144370
- Practice address
- 10334 Erskine CT
Houston, TX 77070-4878 - Phone
- (832) 293-7168
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP144370 | TX | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 621078 | TX |
Addresses
Primary practice location
10334 Erskine CT
Houston, TX 77070-4878
Mailing address
10334 Erskine CT
Houston, TX 77070-4878
Phone (832) 293-7168
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621078 | TX | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Geriatrics Inc | Current | Accepting new patients |
Locations
24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171
1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068
Interoperability endpoints
- mtran349080@directhoustonmethodist.org
Organizations & group practices 1
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.
-
- Gerontology Nurse Practitioner
- Katy, TX
- NPI 1811088628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1710521737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10334 ERSKINE CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704878",
"telephone_number": "832-293-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10334 ERSKINE CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704878",
"telephone_number": "832-293-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MARIVIC",
"middle_name": "VERGARA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP144370",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "621078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.