Marye Nickens, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1054511 Issued in TX

Practice address

163 S 9TH St
Slaton, TX 79364-4121

Phone

(806) 828-1600

Fax

(806) 828-1610

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Slaton Family Medical, PLLC.

  • Rural Health Clinic/Center
  • Slaton, TX
  • NPI 1750573416
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1871263590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 FAIRMONT PKWY # 207",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053722",
            "telephone_number": "832-455-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S 9TH ST",
            "city": "SLATON",
            "state": "TX",
            "postal_code": "793644121",
            "telephone_number": "806-828-1600",
            "fax_number": "806-828-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKENS",
        "first_name": "MARYE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "slatonfamilymedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "163 S 9th St",
            "city": "Slaton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "793644121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Home Oxygen & Equipment Co
• JD Healthcare LLC (Slaton Pharmacy)
• Barbara Jean Johnson, TEXAS 128477
• Deidre Lewis Means, LPC-INTERN
• Alyssa Myers, LVN
• Kathryn Marie Orr, PHARMD
• Mackenzie Price
• Leslie Reynolds, CH
• Bonnie Rudd, LCSW
• Slaton Dentistry

• Family Nurse Practitioner in Slaton, TX
• Providers in Slaton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.