MARISSA TERRY (NPI# 1801396767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801396767 |
| Entity Type | Individual |
| Full Name | MARISSA TERRY |
| Credential | CPNP-AC |
| Practice Address |
1300 Jefferson Park Ave Fl4 Charlottesville VA 22908-2824 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349242150 |
| Practice Fax Number | 4342439433 |
| Mailing Telephone | 4342951000 |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024175900 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1204 W Main St, Charlottesville, VA 229032824 | 4342435500 |
| Street Address |
1300 JEFFERSON PARK AVE FL4 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1518091776 | Sarah E. Roberts | Nurse Practitioner | 900 Rio East Ct Ste A, Charlottesville, VA 22901-8040 | 2007-03-16 |
| 1396393419 | Marta Moore | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-09-02 |
| 1376007328 | Kaitlyn Geib | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-01-24 |
| 1801373675 | Stephanie Kidney | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2018-07-25 |
| 1912410713 | Kathryn Lynn Shepley | Nurse Practitioner | 400 Brandon Ave, Charlottesville, VA 22903-3310 | 2017-11-15 |
| 1467962860 | Elizabeth Taylor Salajegheh | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2017-10-11 |
| 1508312612 | Kelly O'connell | Nurse Practitioner | 1204 W Main St, 5th Floor, Charlottesville, VA 22903-2824 | 2016-08-29 |
| 1356896591 | Alison W. Sturgill | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2016-08-17 |
| 1528433018 | Karri M. Bishop | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22908-2824 | 2015-12-09 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
Please comment or provide details below to improve the information on MARISSA TERRY.
| 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.