Individual provider Active NPI

Jose Luis Marquez, APRN

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1982108593
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135555 Issued in TX
Practice address
2800 Garth Rd
Baytown, TX 77521-3947
Phone
(281) 425-3800
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP135555 TX Primary

Addresses

Primary practice location

2800 Garth Rd
Baytown, TX 77521-3947

Mailing address

3102 W Bay Area Blvd Apt 1108
Friendswood, TX 77546-5087
Phone (786) 556-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111000155 TX Practitioner - Nurse Practitioner 1052498326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135555TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacinto Medical Group P a Multi-Specialty CurrentSince Jul 2, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Jan 10, 2024 Accepting new patients
Sommet Home Care, Inc. PastSince Jan 22, 2007 Accepting new patients

Locations

2800 Garth Rd
Baytown, TX 77521
Phone (281) 425-3800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1982108593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 W BAY AREA BLVD APT 1108",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465087",
            "telephone_number": "786-556-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-425-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.