MARIUM JANICKE
NPI 1134748395
Registered Nurse - Pediatrics in Tyler, TX

Q: What is Marium Janicke's NPI number?

The NPI number for Marium Janicke is 1134748395. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Marium Janicke's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marium Janicke was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2020

212 OLD GRANDE BLVD STE A110, TYLER, TX 75703(903) 509-3742 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marium Janicke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIUM JANICKE (NPI 1134748395) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (741938) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1134748395

Entity TypeIndividualFemale

Primary Taxonomy163WP0200X

Provider Legal NameMARIUM JANICKE

Location Address212 OLD GRANDE BLVD STE A110Tyler, TX 75703-4256

Mailing Address212 Old Grande Blvd Ste A110Tyler, TX 75703-4256 · (903) 509-3742

Phone(903) 509-3742

Sole ProprietorNo

Enumeration DateApril 8, 2020

NPPES CertifiedApril 8, 2020

✔ NPI 1134748395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers

Taxonomy Code163WP0200X

License✔ Licensed in TX · 741938

212 OLD GRANDE BLVD STE A110, Tyler, TX 75703

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EPIC HEALTH SERVICES, INC.

Home Health

212 OLD GRANDE BLVD STE A110
TYLER, TX 75703

Smith County (903) 509-3742

JULIA ANN-LOUISE ALEXANDER

Speech-Language Pathologist

212 OLD GRANDE BLVD STE A110
TYLER, TX 75703

Smith County (903) 509-3742

LINDSEY BROOKE MARTINEZ

Physical Therapy Assistant

212 OLD GRANDE BLVD STE A110
TYLER, TX 75703

Smith County (903) 509-3724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marium Janicke's NPI number?

The NPI number for Marium Janicke is 1134748395. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Marium Janicke located?

Marium Janicke practices at 212 Old Grande Blvd Ste A110, Tyler, TX 75703. The listed phone number is (903) 509-3742.

What is Marium Janicke's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

When was this NPI record last updated?

The NPPES record for Marium Janicke was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.