MARISSA F KLEFFMAN UNDERWOOD (NPI# 1144691528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144691528 |
| Entity Type | Individual |
| Full Name | MARISSA F KLEFFMAN UNDERWOOD |
| Other Name | MARISSA F KLEFFMAN |
| Credential | ARNP |
| Practice Address |
1204 E Fire Tower Rd Greenville NC 27858-4196 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527441122 |
| Practice Fax Number | 2527441133 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9467370 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5008128 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
264412 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1144691528 | 05 | |
| BCBS OF NC | 19GSY | 01 | |
| NC | MEDICARE | NCR001B | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 322241865 | 9049532000 | |
| 381 Ruin Creek Rd, Henderson, NC 275362932 | 2524300666 | 2524307503 |
| Street Address |
1204 E FIRE TOWER RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030354 | Thomas J Ellis | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Family Medicine Firetower Medical Office, Greenville, NC 27858-4196 | 2005-08-16 |
| 1982929949 | David Russell Gilbert Jr. | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2010-04-02 |
| 1043447410 | Celeste T. Jackson | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Firetower Medical Office, Greenville, NC 27858-4196 | 2009-06-12 |
| 1831353093 | Deepti Sharma | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2008-07-16 |
| 1336348093 | Qing Cao | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Family Medicine Firetower Medical Office, Greenville, NC 27858-4196 | 2007-07-13 |
| 1124145214 | Audie C Florida | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2007-03-23 |
| 1013072511 | Sean Pumphrey | Social Worker | 1204 E Fire Tower Rd, Ecu Physicians Firetower Medical Office, Greenville, NC 27858-4196 | 2006-12-26 |
| 1588607634 | Tiffany Buck Langston | Nurse Practitioner | 1204 E Fire Tower Rd, Ecu Physicians Family Medicine, Greenville, NC 27858-4196 | 2006-06-14 |
| 1548209489 | Denis Brunt | Physical Therapist | 1204 E Fire Tower Rd, Greenville, NC 27858-6179 | 2006-06-06 |
| 1841248358 | East Carolina University | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
Please comment or provide details below to improve the information on MARISSA F KLEFFMAN UNDERWOOD.
| 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.