JUANITA AGUSTIN MARIANO (NPI# 1447424650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447424650 |
| Entity Type | Individual |
| Full Name | JUANITA AGUSTIN MARIANO |
| Credential | APRN |
| Practice Address |
4201 Garth Rd Ste 307 Baytown TX 77521 |
| Mailing Address |
4201 Garth Rd Ste 307 Baytown TX 77521-3156 |
| Practice Telephone | 8325566046 |
| Mailing Telephone | 8325566046 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP133717 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 003614 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 375608201 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Osborne St, Suite 123, Danbury, CT 068106000 | 2037397131 | 2037398910 |
| 4201 Garth Rd Ste 307, Baytown, TX 77521 | 8325566046 |
| Street Address |
4201 GARTH RD STE 307 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346391083 | Boutros P Kahla | Surgery | 4201 Garth Rd Ste 307, Baytown, TX 77521-3156 | 2007-01-16 |
| 1780001966 | Christopher Russell Kannady | Urology | 4201 Garth Rd Ste 307, Baytown, TX 77521-3156 | 2014-03-25 |
| 1417206772 | Kendell Jean Sowards | Surgery | 4201 Garth Rd Ste 307, Baytown, TX 77521 | 2012-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578964359 | Gregorio A Villarreal | Nurse Practitioner | 8006 Citrus Court, Baytown, TX 77523 | 2014-09-11 |
| 1750929832 | Kyle Bieschke | Nurse Practitioner | 4401 Garth Road, Baytown, TX 77521 | 2019-12-19 |
| 1457858003 | Josue Omar Munoz | Nurse Practitioner | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2018-04-10 |
| 1346750775 | Emmanuel Jesurobo Osemwegie | Nurse Practitioner | 4401 Garth Rd, Baytown, TX 77521-2122 | 2017-10-12 |
| 1043738511 | Deante Latysa Brown | Nurse Practitioner | 4201 Garth Rd Ste 100, Baytown, TX 77521-3154 | 2017-09-06 |
| 1942724810 | Texas Em-i Medical Services Pa | Nurse Practitioner | 1626 W Baker Rd, Baytown, TX 77521-2271 | 2017-08-01 |
| 1366966459 | Dominique A Moore | Nurse Practitioner | 2655 W Baker Rd, Baytown, TX 77521-2206 | 2017-07-31 |
| 1295285575 | Mayla Garcia | Nurse Practitioner | 4201 Garth Rd, Suite 208, Baytown, TX 77521-3167 | 2016-10-10 |
| 1487014593 | Christine G. Mendez | Nurse Practitioner | 4401 Garth Rd, Baytown, TX 77521-2122 | 2016-03-02 |
| 1164813150 | Yashayla Brown | Nurse Practitioner | 4201 Garth Rd Ste 100, Baytown, TX 77521-3154 | 2015-02-11 |
| Find all providers in BAYTOWN | ||||
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| 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.