Individual provider Active NPI

Marianna Nolasco, FNP-C

  • Family Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1821336561
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140663 Issued in TX
Practice address
2000 Texas Ave Ste 300
Texas City, TX 77590-8471
Phone
(409) 643-8231
Fax
(409) 643-8367
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140663 TX
Family Nurse Practitioner 363LF0000X AP140663 TX Primary

Addresses

Primary practice location

2000 Texas Ave Ste 300
Texas City, TX 77590-8471

Mailing address

2000 Texas Ave Ste 300
Texas City, TX 77590-8471
Phone (409) 643-8231

Other names 1

  • Marianna Lujan Former name

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
I20190319000917 TX Practitioner - Nurse Practitioner 9234479858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140663TXMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mnolascorn29071@direct.utmb.edu

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1821336561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TEXAS AVE STE 300",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775908471",
            "telephone_number": "409-643-8231",
            "fax_number": "409-643-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TEXAS AVE STE 300",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775908471",
            "telephone_number": "409-643-8231",
            "fax_number": "409-643-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLASCO",
        "first_name": "MARIANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNA",
            "last_name": "LUJAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.