MARISSA BOTTOS (NPI# 1639720972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639720972 |
| Entity Type | Individual |
| Full Name | MARISSA BOTTOS |
| Other Name | MARISSA SMITH |
| Credential | FNP, APRN |
| Practice Address |
9731 Prairie Ave Highland IN 46322-3616 |
| Practice Telephone | 2199224900 |
| Practice Fax Number | 2198369922 |
| Mailing Telephone | 2199224900 |
| Mailing Fax Number | 2198369922 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009430A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9731 PRAIRIE AVE |
| City | HIGHLAND |
| State | IN |
| Zip Code | 46322-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720024615 | Dalal Medical Corporation | Colon & Rectal Surgery | 9731 Prairie Ave, Highland, IN 46322-3616 | 2006-06-21 |
| 1659749489 | Munster Primary Care PC | Internal Medicine | 9731 Prairie Ave, Highland, IN 46322-3616 | 2015-09-10 |
| 1316203367 | Mohsen R Khan | Internal Medicine | 9731 Prairie Ave, Highland, IN 46322-3616 | 2012-04-04 |
| 1659470110 | John L Kniaz | Internal Medicine | 9731 Prairie Ave, Highland, IN 46322-3616 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431733 | Marielva Banks | Physician Assistant | 10343 Indianapolis Blvd Ste 104, Highland, IN 46322 | 2017-08-03 |
| 1467806596 | Archangel Home Care Inc | Home Health | 2148 45th Ste 205, Highland, IN 46322 | 2016-04-14 |
| 1427457886 | Veronica Addison | Community/Behavioral Health | 219 Indianapolis Blvd, Ste B, Highland, IN 46322 | 2014-08-21 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1043648207 | Wahbi Adad | Specialist | 8732 Woodward Ave, Highland, IN 46322 | 2013-10-28 |
| 1619229317 | Cleotis White | Counselor | 2646 Highway Ave Ste 108, Highland, IN 46322 | 2012-10-05 |
| 1912278904 | Noble Home Health Care LLC | Home Health | 2449 45th St, Suite D, Highland, IN 46322 | 2012-01-23 |
| 1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
| 1194998963 | Affordable Hearing Aid Center | Hearing Instrument Specialist | 2148 45th St, Highland, IN 46322 | 2008-04-11 |
| 1497954390 | Highland Clinic of Northwest Indiana Inc | General Practice | 2834 Highway Ave Ste 1, Highland, IN 46322 | 2007-07-12 |
| Find all providers in zip 46322 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902159 | Solution LLC | Nurse Practitioner | 9445 Indianapolis Blvd # 1130, Highland, IN 46322-2648 | 2020-08-11 |
| 1932721719 | Denise Rocio Popovich | Nurse Practitioner | 2481 Bay Vista Dr, Highland, MI 48357-4971 | 2020-05-14 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1124540687 | Marylynn Katherine Barnes | Nurse Practitioner | 3100 45th St Ste 3, Highland, IN 46322-3277 | 2017-07-16 |
| 1508307471 | Anne Lutostanski | Nurse Practitioner | 2 Keeven Ct, Highland, IL 62249-2403 | 2017-03-13 |
| 1518402064 | Blair Elizabeth Bone | Nurse Practitioner | 2720 Lemon Street Rd, Highland, IL 62249-2722 | 2016-12-19 |
| 1962857979 | Iras Miller | Nurse Practitioner | 11255 N 5710 W, Highland, UT 84003-9042 | 2016-04-27 |
| 1598158180 | Melissa Ann Cox | Nurse Practitioner | 7035 Palm Ave, Highland, CA 92346-3291 | 2015-03-06 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1447688007 | Raquel Tolentino Magno | Nurse Practitioner | 28308 Summertrail Pl, Highland, CA 92346-6065 | 2013-10-17 |
| Find all providers in HIGHLAND | ||||
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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.