Active NPI
Marites Soluta Tautho, RN
- Registered Nurse
- Alamo, TX
National Provider Identifier
1962794875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 758024
- Practice address
- 370 E Bowie Ave
Alamo, TX 78516-5519 - Phone
- (956) 874-4633
- Fax
- (956) 223-4363
- NPI assigned
- May 10, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 758024 | TX | Primary |
Addresses
Primary practice location
370 E Bowie Ave
Alamo, TX 78516-5519
Mailing address
501 E Business 83
Alamo, TX 78516-2559
Phone (956) 702-2255
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 |
|---|---|---|---|
| 758024 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardenia Primary Home Care, LLC | Current | 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.
-
- Personal Care Attendant
- Alamo, TX
- NPI 1003319005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1962794875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E BUSINESS 83",
"city": "ALAMO",
"state": "TX",
"postal_code": "785162559",
"telephone_number": "956-702-2255",
"fax_number": "956-702-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 E BOWIE AVE",
"city": "ALAMO",
"state": "TX",
"postal_code": "785165519",
"telephone_number": "956-874-4633",
"fax_number": "956-223-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUTHO",
"first_name": "MARITES",
"middle_name": "SOLUTA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "758024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.