Active NPI
Mary Ryan Tinnel, MSN, APRN, FNP-BC
- Nurse Practitioner
- Port Arthur, TX
National Provider Identifier
1851934079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 872789
- Practice address
- 1946 9TH Ave
Port Arthur, TX 77642-2762 - Phone
- (409) 982-0082
- Fax
- (409) 982-3641
- NPI assigned
- Oct 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 872789 | TX | Primary |
Addresses
Primary practice location
1946 9TH Ave
Port Arthur, TX 77642-2762
Mailing address
443 W Buccaneer Dr
Winnie, TX 77665-7927
Phone (907) 947-3184
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR/Fax | Direct |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872789 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Children'S Healthcare Clinic, PLLC | Nurse Practitioner | Past | Accepting new patients |
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.
-
- Nurse Practitioner
- Port Arthur, TX
- NPI 1598022410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1851934079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 W BUCCANEER DR",
"city": "WINNIE",
"state": "TX",
"postal_code": "776657927",
"telephone_number": "907-947-3184",
"fax_number": "409-982-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 9TH AVE",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776422762",
"telephone_number": "409-982-0082",
"fax_number": "409-982-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINNEL",
"first_name": "MARY",
"middle_name": "RYAN",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "872789",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EHR/Fax",
"affiliation": "N",
"endpointDescription": "electronic health record and secure fax machine",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "text",
"address_1": "1946 9th Ave",
"city": "Port Arthur",
"state": "TX",
"country_code": "US",
"postal_code": "776422762",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.