Marys Clinic Inc

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

257158 Issued in TX

Legal business name

MARYS CLINIC INC

Practice address

191 S Manse Ave
Giddings, TX 78942-3433

Phone

(979) 540-2122

Fax

(979) 540-2120

NPI assigned

Sep 12, 2011

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Esther Wells, FNP-BCNPI 1285709774

Title

Owner and Provider

Phone

(979) 540-2122

Specialties & licenses 1

Addresses

Other names 1

• marys clinic Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary E Wells, CFNP

  • Family Nurse Practitioner
  • Giddings, TX
  • NPI 1285709774
  Medicare reassignment NPD Authorized official
• Janelle K. House, D.O.

  • Family Medicine Physician
  • Cameron, TX
  • NPI 1356480594
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1871875294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S MANSE AVE",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789423433",
            "telephone_number": "979-540-2122",
            "fax_number": "979-540-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S MANSE AVE",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789423433",
            "telephone_number": "979-540-2122",
            "fax_number": "979-540-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "979-540-2122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "257158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "marys clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nichole Kuck, PSYD
• Laura Birnbaum, M.D., P.a.
• Lifecare Corporation (Giddings Healthcare Center)
• Deanna Lowrey-Green, LMSW
• Annette Mack, PTA
• David Mayfield
• McDade Isd
• Christeen McKissick
• Medstar Care Center Inc
• Sarah Meismer

• Family Health Clinical Nurse Specialist in Giddings, TX
• Providers in Giddings, TX by specialty
• Family Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.