Individual provider Active NPI

Mara Trobajo Casin, F06240472

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1801499397
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017315 Issued in TX
Practice address
20023 Millstone Ridge LN
Katy, TX 77449-5336
Phone
(786) 326-8795
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 1017315 TX Primary

Addresses

Primary practice location

20023 Millstone Ridge LN
Katy, TX 77449-5336

Mailing address

715 Telephone Rd
Houston, TX 77023-3117
Phone (832) 871-4777

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

State licenses

LicenseStateTypeSpecialty
1017315TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mara Family Clinic LLC Family Current Accepting new patients

Locations

715 Telephone Rd
Houston, TX 77023
Phone (832) 871-4777

Interoperability endpoints

  • Direct secure messaging: mara.trobajocasin@1740.securemail.prognocis.com

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1801499397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233117",
            "telephone_number": "832-871-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20023 MILLSTONE RIDGE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495336",
            "telephone_number": "786-326-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROBAJO CASIN",
        "first_name": "MARA",
        "credential": "F06240472",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.