MARISSA KING (NPI# 1669964516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669964516 |
| Entity Type | Individual |
| Full Name | MARISSA KING |
| Practice Address |
1141 E. 3900 S. Suite 150a Salt Lake UT 84121 |
| Mailing Address |
4460 S Highland Dr Salt Lake City UT 84124-3543 |
| Practice Telephone | 8012637101 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508375270 | Marissa A King | Occupational Therapy Assistant | 7591 Tylers Place Blvd, West Chester, OH 45069-6308 | 2017-09-26 |
| 1255694980 | Marissa Anne King | Marriage & Family Therapist | 4305 Torrance Blvd, Suite 300, Torrance, CA 90503-4409 | 2012-06-18 |
| 1366693533 | Marissa Ann King | Speech-Language Pathologist | 210 Liberty Hill Rd, Lumberton, NC 28358-2442 | 2008-10-07 |
| Street Address |
1141 E. 3900 S. SUITE 150A |
| City | SALT LAKE |
| State | UT |
| Zip Code | 84121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| 1427410745 | Pinnacle Recovery Center LLC | Substance Abuse Rehabilitation Facility | 6196 South Holladay Boulevard, Holladay, UT 84121 | 2016-03-25 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619978970 | Douglas Marr Woseth | Specialist | 1548 East 4500 South, Suite 202, Salt Lake, UT 84117-5209 | 2005-08-09 |
| 1457470585 | Woseth Dermatology, P.C. | Specialist | 3920 South 1100 East, Suite 310, Salt Lake, UT 84124-1276 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1255803920 | Premier Pediatrics LLC | Specialist | 48 S 2500 W Ste 220, Hurricane, UT 84737-3380 | 2018-12-19 |
| 1255824090 | Jose Ramiro Izquierdo | Specialist | 6975 S Union Park Ctr, Cottonwood Heights, UT 84047-6048 | 2018-06-06 |
| 1306352091 | Gary Thomas | Specialist | 1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563 | 2017-12-18 |
| 1922533751 | Natasha Peterson | Specialist | 84 E 150 N, American Fork, UT 84003-1624 | 2017-04-30 |
| 1265967814 | Sahra Askalany Affleck | Specialist | 5543 W 10180 N, Highland, UT 84003-9154 | 2017-04-20 |
| 1699209221 | Mountain Spine PC | Specialist | 11613 S State St, Draper, UT 84020-9456 | 2017-04-20 |
| 1215475116 | Megan Porter | Specialist | 307 N 300 W Ste 301, Kaysville, UT 84037-1852 | 2017-02-10 |
| 1770028698 | Hannah Michaela Waters | Specialist | 457 N 900 E, Lindon, UT 84042-2537 | 2017-01-01 |
| Find all providers with the same taxonomy | ||||
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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.