Individual provider Active NPI

Lisa L Marquez, FNP

  • Family Nurse Practitioner
  • Donna, TX
National Provider Identifier
1790068435
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
607675 Issued in TX
Practice address
307 N D Salinas Ave
Donna, TX 78537-2929
Phone
(956) 464-2402
Fax
(956) 464-3339
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 607675 TX Primary

Addresses

Primary practice location

307 N D Salinas Ave
Donna, TX 78537-2929

Mailing address

307 N. D. Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

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
I20111128000037 TX Practitioner - Nurse Practitioner 7517928252 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
607675TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

909 S Airport Dr
Weslaco, TX 78596
Phone (956) 968-0560

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.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1790068435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N. D. SALINAS BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "78537",
            "telephone_number": "956-464-2402",
            "fax_number": "956-464-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N D SALINAS AVE",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929",
            "telephone_number": "956-464-2402",
            "fax_number": "956-464-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "607675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

Verify at the official NPI Registry.