MARISSA CORONADO (NPI# 1629688734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629688734 |
| Entity Type | Individual |
| Full Name | MARISSA CORONADO |
| Credential | DEM |
| Practice Address |
10886 S Shilling Ave Apt 2034 South Jordan UT 84095-4334 |
| Practice Telephone | 5103055460 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175M00000X | Midwife, Lay | Other Service Providers |
| Street Address |
10886 S SHILLING AVE APT 2034 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 175M00000X |
| Grouping | Other Service Providers |
| Classification | Midwife, Lay |
| A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851914337 | Kandice Baird | Midwife, Lay | 627 N 1285 E, Layton, UT 84040-3619 | 2020-05-19 |
| 1447870712 | Christie Ann Bigham | Midwife, Lay | 3973 S 4800 W, West Valley City, UT 84120-4535 | 2020-04-16 |
| 1336787373 | Angella Mendenhall | Midwife, Lay | 659 S 1160 W, Orem, UT 84058-5908 | 2019-12-19 |
| 1982253118 | Desiree Irvine | Midwife, Lay | 154 Grouse Dr, Hurricane, UT 84737-2922 | 2019-09-10 |
| 1336793116 | Cheleste Marie Deveraux | Midwife, Lay | 569 E Howard Dr, Sandy, UT 84070-3457 | 2019-07-30 |
| 1659923597 | Kayce Pearson | Midwife, Lay | 1332 N 625 W Apt 2, Cedar City, UT 84721-8715 | 2019-07-11 |
| 1538627369 | Alicia Powell | Midwife, Lay | 622 N 900 E Ste 4, Spanish Fork, UT 84660-1696 | 2019-03-11 |
| 1659847762 | Sarah Fairlight Chase | Midwife, Lay | 1132 21st St, Ogden, UT 84401-0732 | 2018-10-16 |
| 1679048169 | Amanda Counter | Midwife, Lay | 1259 N Village Hill Cir, Salt Lake City, UT 84116-4708 | 2018-10-10 |
| 1861937740 | Gloria C Moore | Midwife, Lay | 4618 S Russell St Apt B, Holladay, UT 84117-4549 | 2016-12-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on MARISSA CORONADO.
| 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.