Organization Active NPI

Clinica Jesus Nazareno PLLC

  • Family Nurse Practitioner
  • Carrizo Springs, TX
National Provider Identifier
1932842754
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLINICA JESUS NAZARENO PLLC
Practice address
3082 Valley St
Carrizo Springs, TX 78834-3433
Phone
(210) 303-0070
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mrs. Mari Rose Makiling, NPNPI 1164921888
Title
Sole Owner/Nurse Practitioner
Phone
(210) 303-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3082 Valley St
Carrizo Springs, TX 78834-3433

Mailing address

3082 Valley St
Carrizo Springs, TX 78834-3433

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cjnpllc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1932842754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 VALLEY ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 VALLEY ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343433",
            "telephone_number": "210-303-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA JESUS NAZARENO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "MAKILING",
        "authorized_official_first_name": "MARI ROSE",
        "authorized_official_title_or_position": "SOLE OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "210-303-0070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cjnpllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3082 Valley St",
            "city": "Carrizo Springs",
            "state": "TX",
            "country_code": "US",
            "postal_code": "788343433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.