MARISSA WHITE (NPI# 1508363961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508363961 |
| Entity Type | Individual |
| Full Name | MARISSA WHITE |
| Credential | CNP |
| Practice Address |
29911 6 Mile Rd Livonia MI 48152-3603 |
| Mailing Address |
22021 Ecorse Rd Taylor MI 48180-1847 |
| Practice Telephone | 7345131600 |
| Practice Fax Number | 7345131623 |
| Mailing Telephone | 3132914444 |
| Mailing Fax Number | 3132917540 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 47044299632 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033469309 | Marissa White | Speech-Language Pathologist | 37360 Bristol St, Livonia, MI 48154-1764 | 2012-09-14 |
| 1275188765 | Marissa White | Speech-Language Pathologist | 950 Youngstown Warren Rd Ste A, Niles, OH 44446-4626 | 2019-08-02 |
| 1336608256 | Marissa White | Counselor | 322 E Antietam St Ste 101, Hagerstown, MD 21740-5736 | 2019-03-19 |
| 1952888992 | Marissa Antionette White | Case Manager/Care Coordinator | 1441 Boxwood Blvd Apt D18, Columbus, GA 31906-2799 | 2018-07-23 |
| 1780027375 | Marissa Janine White | Pathology | 600 N Wolfe St, Pathology 401, Baltimore, MD 21287-0005 | 2013-04-12 |
| Street Address |
29911 6 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700992054 | Steven Katzman | Internal Medicine | 29911 6 Mile Rd, Livonia, MI 48152-3603 | 2006-08-21 |
| 1750806097 | Kathryn Jane Martel | Nurse Practitioner | 29911 6 Mile Rd, Livonia, MI 48152-3603 | 2017-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1780155762 | Mallory Rose Milavec | Nurse Practitioner | 14555 Levan Rd Ste 311, Livonia, MI 48154-5085 | 2018-12-17 |
| 1659827376 | Jennifer Bullard | Nurse Practitioner | 28508 Sunnydale Rd, Livonia, MI 48154 | 2016-09-01 |
| 1093183006 | Cheryl L Vandewege | Nurse Practitioner | 14555 Levan Rd Ste 112, Livonia, MI 48154-5041 | 2015-09-08 |
| 1861631921 | Angela Ransom | Nurse Practitioner | 14555 Levan Rd Ste 116, St. Mary's Mercy - Livonia, Livonia, MI 48154-5085 | 2009-02-13 |
| 1396856118 | Heidi Good | Nurse Practitioner | 28701plymouth Rd, Livonia, MI 48150 | 2006-08-31 |
| 1639287790 | Judith R Warren | Nurse Practitioner | 28550 Five Mile Road, Livonia, MI 48154 | 2006-08-29 |
| 1699884296 | Rosanne Terranova Seiler | Nurse Practitioner | 29270 Morlock Street, Livonia, MI 48152 | 2006-08-29 |
| 1770565632 | Catherine M Nichols | Nurse Practitioner | 36600 Schoolcraft Rd, Livonia, MI 48150-1176 | 2005-11-16 |
| 1255932463 | Hozefa Ezzi | Nurse Practitioner | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2020-11-04 |
| 1093353773 | Robert P Krupp | Nurse Practitioner | 14555 Levan Rd Ste 112, Livonia, MI 48154-5041 | 2019-12-12 |
| Find all providers in LIVONIA | ||||
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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.