MARISSA TANA BURNETT (NPI# 1124635164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124635164 |
| Entity Type | Individual |
| Full Name | MARISSA TANA BURNETT |
| Credential | PA |
| Practice Address |
8080 Bluebonnet Blvd Ste 1000 Baton Rouge LA 70810-7827 |
| Practice Telephone | 2259242424 |
| Practice Fax Number | 2254087980 |
| Mailing Telephone | 2259242424 |
| Mailing Fax Number | 2254087980 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
324366 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497134993 | Marissa Burnett | Counselor | 600 Central Ave, #e1, Lake Elsinore, CA 92530-2740 | 2015-05-29 |
| Street Address |
8080 BLUEBONNET BLVD STE 1000 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720004864 | Craig Castleman Greene | Orthopaedic Surgery | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2006-07-14 |
| 1386253037 | Baily Elise Amedee | Occupational Therapist | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2020-07-29 |
| 1952910176 | Carolyn Umana | Occupational Therapist | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2020-07-23 |
| 1871112516 | Abigail Rose Kemske | Occupational Therapist | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2020-04-13 |
| 1235776121 | Miriam Story Matthews | Specialist/Technologist, Other | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2019-12-10 |
| 1619513793 | Abby K Leblanc | Registered Nurse | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2019-11-22 |
| 1114563483 | Jessica Weeks Charcap | Specialist/Technologist, Other | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2019-11-21 |
| 1871154229 | Justin Thomas Allen | Physician Assistant | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2019-06-26 |
| 1710543822 | Jonathan Edward Fletcher | Physician Assistant | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2019-05-14 |
| 1952864308 | Austin H Wallace | Physician Assistant | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1194148437 | Margot Lebourgeois | Physician Assistant | 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 | 2014-01-22 |
| 1477995645 | Ashley Raburn | Physician Assistant | 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 | 2013-07-29 |
| 1609177161 | Kimberly Bergeron | Physician Assistant | 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 | 2010-11-15 |
| 1487968327 | Ronald Ray Torres Jr. | Physician Assistant | 10059 N. Reiger Road, Baton Rouge, LA 70809 | 2010-08-03 |
| 1639294564 | Sarah Ponder | Physician Assistant | 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 | 2007-03-20 |
| 1033113980 | Vickie Sue Rice | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2005-06-09 |
| 1053973750 | Laura Clesi Knight | Physician Assistant | 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 | 2019-07-02 |
| 1912491234 | Sabrina Grantham | Physician Assistant | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2018-06-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on MARISSA TANA BURNETT.
| 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.