MARISSA JOHNSON (NPI# 1629474028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629474028 |
| Entity Type | Individual |
| Full Name | MARISSA JOHNSON |
| Credential | PA-C |
| Practice Address |
901 W Ben White Blvd Suite 201 Austin TX 78704-6903 |
| Practice Telephone | 5128161116 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081345 | Marissa Noelle Johnson | Nurse Practitioner | 14820 N Rome Ave, Tampa, FL 33613-1542 | 2018-11-05 |
| 1184149825 | Marissa Ann Johnson | Chiropractor | 257 Prospect Ave Ste 16, West Orange, NJ 07052-4210 | 2017-08-03 |
| 1679921290 | Marissa Johnson | Specialist/Technologist | 7153 Us Highway 6, Linesville, PA 16424-8155 | 2016-05-25 |
| 1659992154 | Marissa Kay Johnson | Social Worker | 495 E Main St, Columbus, OH 43215-5349 | 2020-05-06 |
| 1477113678 | Marissa Johnson | Physical Therapist | 3145 W Clark Rd Ste 102, Ypsilanti, MI 48197-1120 | 2019-06-19 |
| 1588167324 | Marissa Johnson | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2018-03-16 |
| 1447703525 | Marissa Irene Johnson | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2016-07-26 |
| 1386015626 | Marissa Johnson | Counselor | 1126 Sam Newell Rd, Suites C & D, Matthews, NC 28105-5083 | 2015-10-13 |
| 1053549337 | Marissa Johnson | Occupational Therapist | 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | 2009-06-25 |
| 1396997862 | Marissa Marie Johnson | Physician Assistant | 6620 Schaefer Rd, Dearborn, MI 48126-4502 | 2008-10-16 |
| Street Address |
901 W BEN WHITE BLVD SUITE 201 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647022 | Leslie W Dalton IIi | Pathology | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2005-05-26 |
| 1578160214 | Landry Ross Tucker | Physician Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-10-06 |
| 1326657636 | Madeline Louise Kalenits | Physician Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-07-23 |
| 1841817129 | Connie Suen | Pharmacist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-07-02 |
| 1346861606 | Questcare Intensivists Pllc | Hospitalist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-04-28 |
| 1669009163 | Denise Hendlmyer | Occupational Therapist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-03-25 |
| 1629608021 | Briana Filomena Tafuto | Registered Nurse | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-01-24 |
| 1922647247 | Christina Byrne | Nurse Anesthetist, Certified Registered | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-01-03 |
| 1275184541 | Cydney Palmer Rana | Nurse Practitioner | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2019-09-26 |
| 1396393351 | Alexandra Yost | Physician Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1366050353 | Katherine Elizabeth Mankus | Physician Assistant | 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 | 2020-07-16 |
| 1629695044 | Brittany Ho | Physician Assistant | 12601 Scofield Farms Dr, Austin, TX 78727-4542 | 2020-07-01 |
| 1679197925 | Malia Scott | Physician Assistant | 2217 Park Bend Dr, Austin, TX 78758-5365 | 2020-06-02 |
| 1659992451 | Christopher Kent Brown | Physician Assistant | 2200 W 35th St Bldg 8, Austin, TX 78703-1222 | 2020-05-03 |
| 1982236550 | Stephen Young | Physician Assistant | 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 | 2020-02-11 |
| 1528608908 | Megan Paige Sutphin | Physician Assistant | 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 | 2020-01-13 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1619528569 | Lauren Michelle Feierstein | Physician Assistant | 4505 Duval St Apt 115, Austin, TX 78751-3225 | 2019-09-23 |
| Find all providers in AUSTIN | ||||
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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.