Individual provider Active NPI

Marilyn Elisabeth Veselka, APRN, CPNP-PC

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972266567
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1049957 Issued in TX
Practice address
1919 S Braeswood Blvd Ste 5330
Houston, TX 77030-4466
Phone
(832) 827-4000
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1049957 TX Primary

Addresses

Primary practice location

1919 S Braeswood Blvd Ste 5330
Houston, TX 77030-4466

Mailing address

4105 Eli St
Houston, TX 77007-3523
Phone (281) 948-9996

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

State licenses

LicenseStateTypeSpecialty
1049957TXMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1972266567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 ELI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073523",
            "telephone_number": "281-948-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S BRAESWOOD BLVD STE 5330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304466",
            "telephone_number": "832-827-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELKA",
        "first_name": "MARILYN",
        "middle_name": "ELISABETH",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1049957",
            "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 Oct 20, 2021; 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.