MS. MARYLYN RENEE HARRIS (NPI# 1043441074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043441074 |
| Entity Type | Individual |
| Full Name | MS. MARYLYN RENEE HARRIS |
| Credential | RN |
| Practice Address |
6706 Old Oaks Blvd Pearland TX 77584-7140 |
| Mailing Address |
5330 Griggs Rd Houston TX 77021-3700 |
| Practice Telephone | 8325944391 |
| Practice Fax Number | 8325944391 |
| Mailing Telephone | 7135940179 |
| Mailing Fax Number | 7135135655 |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
582752 | TX | Nursing Service Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
582752 | TX | Nursing Service Providers |
| N | 374T00000X | Religious Nonmedical Nursing Personnel | 582752 | TX | Nursing Service Related Providers |
| N | 171000000X | Military Health Care Provider | 582752 | TX | Other Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 582752 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | REGISTERED NURSE | 582752 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5330 Griggs Rd Ste B105, Houston, TX 770213755 | 2815011884 | 2815011884 |
| Street Address |
6706 OLD OAKS BLVD |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035606 | Harrland Healthcare Consulting LLC | Counselor | 6706 Old Oaks Blvd, Pearland, TX 77584-7140 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861038234 | Theresia Zuh Tabe | Registered Nurse | 4301 Mapleshade Ln, Plano, TX 75093-0010 | 2019-11-20 |
| 1225498371 | Toyin Akinwale | Registered Nurse | 13226 Packard Dr, Frisco, TX 75033-1681 | 2016-03-02 |
| 1124492434 | Ashlea Freeman | Registered Nurse | 912 11th St, Wolfforth, TX 79382-2408 | 2015-11-24 |
| 1144690819 | Maggie Gorski | Registered Nurse | 7805 Cooper Ln Unit 205, Austin, TX 78745-6371 | 2015-10-06 |
| 1467700369 | Linda F Burrell | Registered Nurse | 4214 Kelling St, Houston, TX 77045-4329 | 2012-08-27 |
| 1508113440 | Melba E Simon-terry | Registered Nurse | 14806 Cedar Isle Dr, Houston, TX 77084-2140 | 2012-08-09 |
| 1093018178 | Gaitree Debiparshad | Registered Nurse | 605 S. West Street Box 19329, Uta Health Services, Arlington, TX 76019-0329 | 2010-12-13 |
| 1801093117 | Sondra S Thompson | Registered Nurse | 3603 R and R Center, Cr Darnall Army Medical Center, Fort Hood, TX 76544 | 2007-06-29 |
| 1386859676 | Janet Keeven | Registered Nurse | 218 Robin Loop, Waco, TX 76705-1534 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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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.