Marilyn De Cordova

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP132821 Issued in TX

Practice address

6625 Wooldridge Rd
#101
Corpus Christi, TX 78414-2916

Phone

(361) 356-6441

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Turnwell Mental Health of South Texas, PLLCGroup PAC ID 0547780413, 20 clinicians

South Texas Mental Health Associates PAGroup PAC ID 3971745126, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• South Texas Mental Health Associates, PA

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1043658941
  Medicare reassignment Care Compare group NPD
• Turnwell Mental Health of South Texas, PLLC

  dba South Texas Mental Health Associates

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1043027725
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1770027401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "#101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-356-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "#101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-356-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CORDOVA",
        "first_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Day, DMD
• Daybridge Services LLC
• Olivia Erin Daylor, OTD, OTR/L
• Melonie Dayton, DNP, APRN, FNP-BC
• DCBR LLC (Althea Medical)
• Nicole Erin De Jesus-Roetlin, DO
• Jorge Adrian De la Chapa, D.O.
• Louis Hector De la Garza Jr., DDS
• Luis E De la Garza
• Yomeida De la Pena, MS, LAT, ATC, CES

• Psychiatric/Mental Health Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.

Verify at the official NPI Registry.