MARISSA DIAZ (NPI# 1518346394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518346394 |
| Entity Type | Individual |
| Full Name | MARISSA DIAZ |
| Credential | PA |
| Practice Address |
22080 La Hwy 20 Vacherie LA 70090 |
| Mailing Address |
Po Box 69 Vacherie LA 70090-0069 |
| Practice Telephone | 2252653061 |
| Practice Fax Number | 2252653062 |
| Mailing Telephone | 2252653061 |
| Mailing Fax Number | 2252653062 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 887 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821303975 | Marissa Alicia Diaz | Counselor | 6000 Palm Trace Landing Dr, Apt 204, Davie, FL 33314-1835 | 2010-08-13 |
| 1447862248 | Marissa Janae Diaz | Behavior Technician | 5522 Lone Star Pkwy, San Antonio, TX 78253-6719 | 2020-08-21 |
| 1427541507 | Marissa Diaz | Counselor | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2018-06-13 |
| Street Address |
22080 LA HWY 20 |
| City | VACHERIE |
| State | LA |
| Zip Code | 70090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284860 | Raja S Talluri | Internal Medicine | 22080 La Hwy 20, Vacherie, LA 70090 | 2006-04-12 |
| 1265893739 | Denise Louque | Nurse Practitioner | 22080 La Hwy 20, Vacherie, LA 70090 | 2016-03-11 |
| 1255348843 | St Joseph Medical Clinic A Medical Corporation | Clinic/Center | 22080 La Hwy 20, Vacherie, LA 70090-0069 | 2006-08-03 |
| 1962410597 | Michael Dirk Ory | Family Medicine | 22080 La Hwy 20, Vacherie, LA 70090 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730618315 | Arthur John Bosworth Iv | Case Manager/Care Coordinator | 2645 S Bank Ln, Vacherie, LA 70090 | 2017-06-07 |
| 1659735934 | Njaya Bethancourt | Counselor | 2140 Church St, Vacherie, LA 70090 | 2016-04-12 |
| 1780052340 | Emily Ann Earline Lassere | Specialist/Technologist | 19566 Lonnie Ln, Vacherie, LA 70090 | 2015-09-11 |
| 1912321225 | Theresa Jenkins | Physical Therapist | 22140 Hwy 20, Suite A, Vacherie, LA 70090 | 2014-02-06 |
| 1790906766 | Roland S Waguespack Md | Pharmacy | 1108 St James Street, Vacherie, LA 70090 | 2007-05-01 |
| 1134208002 | James J Stafford | Dentist | 2670 Hwy. 20, Vacherie, LA 70090 | 2006-11-03 |
| 1881708865 | Green Tree Pharmacies LLC | Pharmacy | 21430 La Highway 20, Vacherie, LA 70090 | 2006-08-18 |
| 1659309201 | Vacherie Dialysis Center, Inc. | Clinic/Center | 2504 Hwy. 20, Suite B, Vacherie, LA 70090 | 2006-06-30 |
| 1790729689 | Nephrology Associates | Specialist | 2504 Hwy 20 West, Vacherie, LA 70090 | 2006-06-15 |
| 1366419442 | Lydia W Norton | Pediatrics | St. Philip Clinic, 1108 St. James St., Vacherie, LA 70090 | 2006-03-07 |
| Find all providers in zip 70090 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1134728769 | Hannah Michael | Physician Assistant | 8249 Vincent Rd, Denham Springs, LA 70726-6279 | 2020-10-24 |
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1669089389 | Emily Marie Bruce | Physician Assistant | 112 Peytral Dr, Raceland, LA 70394-2016 | 2020-09-27 |
| 1740891431 | Haley Webre | Physician Assistant | 110 Avery St, Luling, LA 70070-2180 | 2020-08-14 |
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1629693502 | Laura Rose Murray | Physician Assistant | 330 Julia St Apt 308, New Orleans, LA 70130-3682 | 2020-06-16 |
| 1639793714 | Lillian Madin | Physician Assistant | 3312 Dumaine St, New Orleans, LA 70119-3911 | 2020-06-03 |
| 1043832579 | Sarah Hassien Daigle | Physician Assistant | 324 Madison Crossing Dr, Sulphur, LA 70665-8791 | 2020-05-06 |
| 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.