Active NPI
Marlene Walden, RN, NNP-BC
- Neonatal Nurse Practitioner
- Houston, TX
National Provider Identifier
1871741504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 242019
- Practice address
- 6621 Fannin St
Houston, TX 77030-2303 - Phone
- (832) 824-6468
- NPI assigned
- Sep 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 242019 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2303
Mailing address
25203 Holly Oaks CT
Magnolia, TX 77355-6407
Phone (281) 543-8587
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242019 | TX | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220659200000",
"number": "1871741504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25203 HOLLY OAKS CT",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773556407",
"telephone_number": "281-543-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "MARLENE",
"name_prefix": "Dr.",
"credential": "RN, NNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-06",
"last_updated": "2008-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "242019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.