MARVISTA (NPI# 1104064401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104064401 |
| Entity Type | Organization |
| Organization Name | MARVISTA |
| Practice Address |
4140 Ferncreek Dr Suite 802 Fayetteville NC 28314-2563 |
| Practice Telephone | 9104867081 |
| Mailing Telephone | 9104867081 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |
| Authorized Official Name | MRS. MELISSA WILSON BARNES (OFFICE MANAGER) |
| Authorized Official Telephone | 9104867081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2758 | NC | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARVISTA ENTERTAINMENT, LLC | 10877 Wilshire Blvd Fl 10, Los Angeles, CA 90024-4251 |
| Colorado Business Entities | MARVISTA FAMILY, LLC | 502 Marvista Drive, Solana Beach, CA 92075 |
| New York State Corporations | MARVISTA II, LLC | 33 Normandy Ln, Riverside, Ct 06878 |
| Oregon Corporations, Companies and Business Names | MARVISTA LLC | 131 Nw 20th St, Newport, OR 97365 |
| Street Address |
4140 FERNCREEK DR SUITE 802 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447757 | Paul Eric Szwejbka | Psychiatry & Neurology | 4140 Ferncreek Dr, Ste 401, Fayetteville, NC 28314-2563 | 2005-06-14 |
| 1619438819 | Amber June Gendron | Physician Assistant | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2019-03-29 |
| 1336657428 | Carey Lennon | Orthopaedic Surgery | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2018-01-11 |
| 1497297451 | Zachary John Collins | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-11-08 |
| 1932657798 | Jared Kenneth Casazza | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-09-21 |
| 1821545005 | Wendy T Bartley | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-09-06 |
| 1477941367 | Sarah Busbin | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-31 |
| 1265820260 | Ashley Ronk | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-30 |
| 1689071458 | Abighail Castro | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-11-22 |
| 1942647300 | Le-ann Mancio | Physical Therapist | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2013-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| 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 |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on MARVISTA.
| 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.