MARISSA MICHELLE ODENS (NPI# 1518564848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518564848 |
| Entity Type | Individual |
| Full Name | MARISSA MICHELLE ODENS |
| Practice Address |
207 Main Ave W West Fargo ND 58078-1725 |
| Practice Telephone | 7014991022 |
| Mailing Telephone | 7014991022 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
1680 | ND | Speech, Language and Hearing Service Providers |
| Street Address |
207 MAIN AVE W |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057759 | West Fargo Public School District 6 | Registered Nurse | 207 Main Ave W, West Fargo, ND 58078-1725 | 2005-10-20 |
| 1689280760 | Zhenyu Fu | Speech-Language Pathologist | 207 Main Ave W, West Fargo, ND 58078-1725 | 2020-09-23 |
| 1336798610 | Kelsey Jolene Kowalski | Speech-Language Pathologist | 207 Main Ave W, West Fargo, ND 58078-1725 | 2019-09-09 |
| 1356809651 | Megan Narog | Licensed Practical Nurse | 207 Main Ave W, West Fargo, ND 58078-1725 | 2019-03-05 |
| 1508324997 | Joslyn Kaseman | Registered Nurse | 207 Main Ave W, West Fargo, ND 58078-1725 | 2019-03-05 |
| 1811455116 | Martha Kpor | Licensed Practical Nurse | 207 Main Ave W, West Fargo, ND 58078-1725 | 2019-03-05 |
| 1891253282 | Renee Diekman | Registered Nurse | 207 Main Ave W, West Fargo, ND 58078-1725 | 2019-03-05 |
| 1952869349 | Erika Wetzel | Registered Nurse | 207 Main Ave W, West Fargo, ND 58078-1725 | 2019-03-05 |
| 1578031654 | Jeremy Dickey | Speech-Language Pathologist | 207 Main Ave W, West Fargo, ND 58078-1725 | 2018-11-07 |
| 1700313541 | Lindsay Rude | Speech-Language Pathologist | 207 Main Ave W, West Fargo, ND 58078-1725 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483793 | Sarah Johnson | Specialist/Technologist | 2600 Demers Ave Ste 106, Grand Forks, ND 58201-4100 | 2018-07-16 |
| 1619479169 | Haley J Schmoll | Specialist/Technologist | 1411 32nd St Sw, Fargo, ND 58103-6304 | 2018-03-01 |
| 1346847050 | Alyssa Gourde | Specialist/Technologist | 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | 2020-10-06 |
| 1962017855 | Samantha Jo Schreiner | Specialist/Technologist | 102 6th St Se, Hankinson, ND 58041-4200 | 2020-09-09 |
| 1679119887 | Shelley Ann Fossen | Specialist/Technologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2019-11-22 |
| 1205483245 | Kelli Marie Stumpf | Specialist/Technologist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2019-08-23 |
| 1386203198 | Summer Peterick | Specialist/Technologist | 3401 45th St S Ste A, Fargo, ND 58104-8970 | 2019-06-06 |
| 1528532538 | Jay Laporte | Specialist/Technologist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2019-01-14 |
| 1174009955 | Paige Deck | Specialist/Technologist | 2600 Demers Ave Ste 106, Grand Forks, ND 58201-4100 | 2018-07-16 |
| 1982704144 | Carey Lamoureaux | Specialist/Technologist | 2301 25th St S Ste B, Fargo, ND 58103-6104 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
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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.