MARISSA COOK SHERIDAN


Address: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945
Phone: 7709950466

MARISSA COOK SHERIDAN (NPI# 1427344746) 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) 1427344746
Entity Type Individual
Full Name MARISSA COOK SHERIDAN
Credential NP-C
Practice Address 1960 Riverside Pkwy
Suite 101
Lawrenceville
GA 30043-5945
Practice Telephone 7709950466
Practice Fax Number 7709950472
Mailing Telephone 7709950466
Mailing Fax Number 7709950472
Enumeration Date 2011-06-24
Last Update Date 2012-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
184901 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARISSA SHERIDAN

NPI Name Taxonomy Address Enumeration
1386287852 Marissa Jean Sheridan Speech-Language Pathologist 2121 Raybrook St Se, Grand Rapids, MI 49546-5793 2019-10-28

Office Location

Street Address 1960 RIVERSIDE PKWY
SUITE 101
City LAWRENCEVILLE
State GA
Zip Code 30043-5945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669476388 Beth Ann Sullivan Family Medicine 1960 Riverside Pkwy, Ste 106, Lawrenceville, GA 30043-5945 2005-06-09
1023369477 Melanie Becker Lopez Nurse Practitioner 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 2012-09-25
1467780007 Amy Wellington Physical Therapist 1960 Riverside Pkwy, Suite 104, Lawrenceville, GA 30043-5945 2009-11-19
1811155823 Elizabeth J Nerren Audiologist 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 2008-05-27
1689847923 Ann C Czabala Occupational Therapist 1960 Riverside Pkwy, Suite 104, Lawrenceville, GA 30043-5945 2008-04-08
1114147774 Hand Therapy Specialists, Inc. Specialist 1960 Riverside Pkwy, Suite 104, Lawrenceville, GA 30043-5945 2007-04-26
1679658702 Gwinnett Infectious Diseases PC Internal Medicine 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 2006-10-26
1619980893 Tzvetan Vassilev Internal Medicine 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 2006-08-15
1952318602 Paul D Martin Internal Medicine 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 2006-08-02
1912913740 Elliot G Raizes Internal Medicine 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 2006-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609483882 Brittany Javier Dunn Counselor 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 2020-09-30
1629614037 Terrea Gina Bridges Behavior Technician 2387 Huntcrest Rd, Lawrenceville, GA 30043 2019-11-20
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1093299778 Shareef Nahas Clinical Medical Laboratory 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 2018-09-19
1649766874 Nutritionecw LLC Dietitian, Registered 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 2018-07-11
1962997965 David Le Nguyen Dentist 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 2018-06-22
1932611688 Asfc Outreach Therapeutic Counseling Services, LLC Counselor 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 2017-11-02
1518486810 Shira Brey Williams Specialist/Technologist 1030 Collins Hill Rd, Lawrenceville, GA 30043 2017-09-18
1700300795 Nympha J. Mathurin Meadows Behavioral Analyst 650 Oxford Crest Ct, Lawrenceville, GA 30043 2017-08-01
1992245591 Jagruti Chaudhari Nurse Practitioner 855 Buford Drive, Lawrenceville, GA 30043 2017-03-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801496781 Yanfang Xiao Nurse Practitioner 70 Rivershyre Cir, Lawrenceville, GA 30043-6436 2020-10-29
1114533346 Esi F Yeboah Nurse Practitioner 2599 Irwell Way, Lawrenceville, GA 30044-2141 2020-09-22
1205442647 Chibuogwu Ifeoma Onyegbule Nurse Practitioner 2508 Planters Cove Dr, Lawrenceville, GA 30044-4491 2020-09-21
1760097323 Adelaide Asher Nurse Practitioner 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 2020-09-10
1669082335 Dahlia Josephine Dobson Nurse Practitioner 25 Featherbed Ct, Lawrenceville, NJ 08648-2004 2020-08-06
1912517129 Virginiah Kariuki Nurse Practitioner 990 Melrose Park Pl, Lawrenceville, GA 30044-7589 2020-08-03
1750990875 Brittney Comfort Afram Nurse Practitioner 436 Cabot Trce, Lawrenceville, GA 30045-7848 2020-07-24
1487273843 Maria A Chuma-okere Nurse Practitioner 1171 Thorncliff Way, Lawrenceville, GA 30044-8140 2020-04-15
1063031706 Josephine Fatmata Belmoh Nurse Practitioner 2035 Bentbrooke Trl, Lawrenceville, GA 30043-2672 2020-04-13
1275162109 Regina Raynor Nurse Practitioner 2359 Strand Ave, Lawrenceville, GA 30043-8204 2020-04-03
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Competitor

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City LAWRENCEVILLE
Zip Code 30043

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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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