MARILYN OMOMEN


Address: 1605 S 31st, Temple, TX 76508-0001
Phone: 2542150100

MARILYN OMOMEN (NPI# 1316337215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316337215
Entity Type Individual
Full Name MARILYN OMOMEN
Credential AGNP
Practice Address 1605 S 31st
Temple
TX 76508-0001
Mailing Address Po Box 844658
Dallas
TX 75284-4658
Practice Telephone 2542150100
Enumeration Date 2015-01-29
Last Update Date 2016-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
785075 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP127499 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1605 S 31ST
City TEMPLE
State TX
Zip Code 76508-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861454878 Juvencio Velasquez Jr. Internal Medicine 1605 S 31st, Temple, TX 76508-0001 2006-04-05
1295259836 Branden Pharris White Nurse Practitioner 1605 S 31st, Temple, TX 76508-0001 2017-07-26
1659641355 Mohini Vijayalakshmi Bollineni Internal Medicine 1605 S 31st, Temple, TX 76508 2012-01-11
1407144660 Viju Moses Internal Medicine 1605 S 31st, Temple, TX 76508-0221 2011-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619596491 Samuel Adrian Matthys Student in an Organized Health Care Education/Training Program 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 2020-04-13
1700414968 Darshan Patel Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 2020-03-31
1992332134 Kiersi Harmon Student in an Organized Health Care Education/Training Program 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 2020-03-26
1053948851 Christian Beltran Student in an Organized Health Care Education/Training Program 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 2020-03-24
1790311850 Chinyere Ashley Onyirimba Student in an Organized Health Care Education/Training Program Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 2020-03-19
1578022398 Kedric Glenn Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 2019-03-19
1518426592 Muhammad Imran Bhatti Student in an Organized Health Care Education/Training Program Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 2019-03-18
1780143883 Nathaniel Clayton Palmer Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 2019-03-18
1235620741 Fahmida Musharof Student in an Organized Health Care Education/Training Program 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 2018-05-21
1275038325 Robert Casey Alan Finch Student in an Organized Health Care Education/Training Program 2401 S 31st St, Ms-ck-300, Temple, TX 76508 2018-03-29
Find all providers in zip 76508

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164066031 Kimberly Monique Fryer Nurse Practitioner 253 E Highway 78, Temple, GA 30179-4348 2019-11-04
1093213696 Lisa Monda Nurse Practitioner 1901 Veterans Memorial Dr, Temple, TX 76504-7451 2018-01-29
1265559892 Heather Macbeth-estrada Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2007-03-26
1881707289 Tara Lynn Roberts Nurse Practitioner 1901 Veterans Memorial Dr, 112, Temple, TX 76504-7451 2006-08-17
1689683682 David Nathan Efries Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2006-08-07
1033143383 Colleen Eleanor Nadolski Nurse Practitioner 2401 S 31st St, Temple, TX 76508-1032 2006-07-11
1588600563 Linda Kay Poole Nurse Practitioner 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 2006-06-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275778 Anel Odette Chavez Nurse Practitioner 1006 Sage Ln, Edinburg, TX 78539-7820 2020-11-04
1104427335 Randel Bond Nurse Practitioner 337 Woodstone Loop, Cibolo, TX 78108-3268 2020-11-04
1467051870 Melinda Davis-mcclendon Nurse Practitioner 2158 River Edge Dr, Belton, TX 76513-1429 2020-10-19
1053910489 Morgan Lee Lemoine Nurse Practitioner 1811 Stephen Dr, Wylie, TX 75098-0258 2020-10-17
1255939740 Melissa Walles George Nurse Practitioner 941 Scotland Dr, Desoto, TX 75115-2058 2020-10-15
1487251377 Karen Baricaua Bautista Nurse Practitioner 1912 78th St, Lubbock, TX 79423-2455 2020-10-05
1205443132 Rincy P Mathew Nurse Practitioner 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 2020-09-24
1326654724 Connie Sue Fiser Nurse Practitioner 248 Cass Cir, Flint, TX 75762-6990 2020-09-21
1588279525 Marquita Michelle Pickens Nurse Practitioner 6817 Historic Vw, Dallas, TX 75236-0109 2020-09-15
1033723184 Rita Chibuzor Nwajei Nurse Practitioner 2726 Atlas Dr, Missouri City, TX 77459-6745 2020-09-06
Find all providers with the same taxonomy

Competitor

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City TEMPLE
Zip Code 76508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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