MARISSA P FORREST (NPI# 1386692986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386692986 |
| Entity Type | Individual |
| Full Name | MARISSA P FORREST |
| Credential | CNP |
| Practice Address |
140 Colemans Crossing Boulevard Suite 210 Marysville OH 43040-0000 |
| Practice Telephone | 9376441441 |
| Practice Fax Number | 9376427760 |
| Mailing Telephone | 9376441441 |
| Mailing Fax Number | 9376427760 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.00108 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN.CNP.00108 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2023714 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873784 | Marissa Forrest | Specialist/Technologist | 645 Tamalpais Dr Ste B, Corte Madera, CA 94925-1613 | 2018-03-05 |
| Street Address |
140 COLEMANS CROSSING BOULEVARD SUITE 210 |
| City | MARYSVILLE |
| State | OH |
| Zip Code | 43040-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528024197 | Justin K Krueger | Internal Medicine | 140 Colemans Crossing Boulevard, Suite 210, Marysville, OH 43040-0000 | 2006-04-24 |
| 1538477757 | Emily S Herman | Nurse Practitioner | 140 Colemans Crossing Boulevard, Suite 210, Marysville, OH 43040-0000 | 2010-09-22 |
| 1033318373 | Laura L Sorg | Family Medicine | 140 Colemans Crossing Boulevard, Suite 210, Marysville, OH 43040-0000 | 2007-07-17 |
| 1841248341 | Mary S Applegate | Internal Medicine | 140 Colemans Crossing Boulevard, Suite 210, Marysville, OH 43040-0000 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526951 | Amy Crain | In Home Supportive Care | 11555 Us Rt. 36, Marysville, OH 43040 | 2020-10-22 |
| 1669955415 | Kevin Decot | Acupuncturist | 211 Stocksdale Drive, Marysville, OH 43040 | 2018-09-07 |
| 1063941417 | Luke Schweiss Dmd Inc. | Dentist | 951 N Maplestreet, Marysvile, OH 43040 | 2017-06-08 |
| 1962943480 | Mande Postle | Social Worker | 16920 Square Dr., Marysville, OH 43040 | 2017-03-16 |
| 1902341688 | John Edward Kleinman | Specialist | 1361 Oak Knoll Court, Marysville, OH 43040 | 2017-01-04 |
| 1598211096 | Cynthia Marie Oberdier | Massage Therapist | 16501 Square Dr, Marysville, OH 43040 | 2016-08-25 |
| 1861946535 | Michele Hope Miley-scott | Counselor | 18200 St Rt 4r, Marysville, OH 43040 | 2016-08-10 |
| 1508219015 | Tonya M Grubb | Private Vehicle | 670 Rainbow Dr, Marysville, OH 43040 | 2016-07-20 |
| 1346636826 | Tara L Nickle | Social Worker | 1479 Collins Ave., Ohio Reformatory for Women, Marysville, OH 43040 | 2015-04-10 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| Find all providers in zip 43040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164072963 | Lyndsay Justine Crispin | Nurse Practitioner | 9311 Degood Rd, Marysville, OH 43040-9301 | 2019-09-13 |
| 1386290948 | David Alan Krass IIi | Nurse Practitioner | 3822 116th St Ne, Marysville, WA 98271-8418 | 2019-08-09 |
| 1053975714 | Danielle Holly Quinn | Nurse Practitioner | 3350 Gratiot Blvd Ste A, Marysville, MI 48040-2121 | 2019-04-29 |
| 1457817975 | Ashley White | Nurse Practitioner | 1010 Coventry Pl Apt B, Marysville, OH 43040-9087 | 2019-02-20 |
| 1205377033 | Morgan T. Harmeyer | Nurse Practitioner | 112 Morey Dr Ste B, Marysville, OH 43040-1646 | 2017-03-13 |
| 1184078677 | Krista Finch | Nurse Practitioner | 940 London Ave Ste 1100b, Marysville, OH 43040-8036 | 2016-04-20 |
| 1760665038 | Stephanie Renee Shampel | Nurse Practitioner | 894 Watkins Glen Blvd, Marysville, OH 43040-8489 | 2007-12-10 |
| 1841347952 | Kimberly Lynn Thorley | Nurse Practitioner | 14210 Scottslawn Rd, Marysville, OH 43041-0001 | 2007-01-04 |
| 1548344856 | Barbara Jane Wallner | Nurse Practitioner | 5730 Packard Ave Ste 500, Marysville, CA 95901-7119 | 2006-10-24 |
| 1285682724 | Julie A Sabo | Nurse Practitioner | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2006-05-05 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 43040 |
Please comment or provide details below to improve the information on MARISSA P FORREST.
| 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.