MARISSA PARKS (NPI# 1639651789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639651789 |
| Entity Type | Individual |
| Full Name | MARISSA PARKS |
| Practice Address |
111 W Jackson St Wisconsin Rapids WI 54495-2702 |
| Mailing Address |
1116 N Point Dr Apt C12 Stevens Point WI 54481-1190 |
| Practice Telephone | 7154218840 |
| Mailing Telephone | 6095018227 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4718-154 | WI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983187 | Marissa Parks | Specialist | 1017 4th Ave E, Olympia, WA 98506-4016 | 2020-08-17 |
| Street Address |
111 W JACKSON ST |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip Code | 54495-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912527102 | Jessica Keyzer | Social Worker | 111 W Jackson St, Wisconsin Rapids, WI 54495-2702 | 2020-04-17 |
| 1891339230 | Michael John Foley Sr. | Counselor | 111 W Jackson St, Wisconsin Rapids, WI 54495-2702 | 2019-10-29 |
| 1851661748 | Danelle Ann Bostwick | Speech-Language Pathologist | 111 W Jackson St, Wisconsin Rapids, WI 54495-2702 | 2012-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306495106 | Jane Kommer | Technician | 1641 Boles Street, Wisconsin, WI 54495 | 2019-09-05 |
| 1306020243 | Thomas W Tepper | Hearing Instrument Specialist | 220 S. 3rd Avenue, Suite 101, Wisconsin Rapids, WI 54495 | 2007-12-27 |
| 1669515276 | Rebecca Jane White | Dietitian, Registered | 1041 Hill Street, Wisconsin Rapids, WI 54495 | 2007-02-14 |
| 1801958871 | Gnp House Calls, LLC | Nurse Practitioner | 5535 County Hwy Q, Wisconsin Rapids, WI 54495 | 2006-12-15 |
| 1497843429 | Robert E Mcgrath | Dentist | 1730 7th Street So, Wisconsin Rapids, WI 54495 | 2006-10-11 |
| 1679003024 | Aaron Ernest Eichsteadt | Physical Therapist | 410 Dewey Street, Wisconsin Rapids, WI 54495 | 2017-06-19 |
| 1104360650 | Matthew Lawrence Benish | Dietitian, Registered | 555 W Grand Ave, B-2, Wisconsin Rapids, WI 54495 | 2016-12-16 |
| 1205097870 | Michael Jan Nelson Phd | Psychologist | 420 1st Ave S, Wisconsin Rapids, WI 54495 | 2008-06-17 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| 1881605335 | Carlson Gi Clinic | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| Find all providers in zip 54495 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094120 | Christine R Witt | Speech-Language Pathologist | 1440 Rosewood Ave, Wisconsin Rapids, WI 54494-6788 | 2011-08-07 |
| 1669647632 | Scott Jeffrey Leberg | Speech-Language Pathologist | 4721 Brookshire Ct, Wisconsin Rapids, WI 54494-9795 | 2008-04-29 |
| 1336328665 | Richard J. Parolini | Speech-Language Pathologist | 3811 N Valley Dr, Wisconsin Rapids, WI 54494-8036 | 2007-11-02 |
| 1538771746 | Morgan Meissen | Speech-Language Pathologist | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2020-08-19 |
| 1699399741 | Jennifer Wanta | Speech-Language Pathologist | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2020-06-04 |
| 1053804732 | Meredith Mutza | Speech-Language Pathologist | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2018-06-07 |
| 1255712709 | Leah Craft | Speech-Language Pathologist | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2015-06-10 |
| 1972859494 | Callie Jean Kramer | Speech-Language Pathologist | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2012-08-02 |
| 1134494180 | Heather Houston | Speech-Language Pathologist | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2012-03-08 |
| 1851661748 | Danelle Ann Bostwick | Speech-Language Pathologist | 111 W Jackson St, Wisconsin Rapids, WI 54495-2702 | 2012-01-09 |
| Find all providers in WISCONSIN RAPIDS | ||||
| City | WISCONSIN RAPIDS |
| Zip Code | 54495 |
Please comment or provide details below to improve the information on MARISSA PARKS.
| 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.