MARISSA LYNN PETERSON (NPI# 1649821307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821307 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN PETERSON |
| Credential | SBD |
| Practice Address |
326 E Whatley St Pooler GA 31322-3230 |
| Practice Telephone | 9122720778 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669633590 | Marissa Peterson | Speech-Language Pathologist | 545 Lincoln Dr, Idaho Falls, ID 83401-4118 | 2008-06-23 |
| 1841765732 | Marissa Peterson | Social Worker | 2723 S State St Ste 150, Ann Arbor, MI 48104-6188 | 2018-10-08 |
| 1609113505 | Marissa Peterson | Pharmacist | 720 Dacula Rd, Dacula, GA 30019-7055 | 2013-01-11 |
| 1417096587 | Marissa Leigh Peterson | Counselor | 1905 Stadium Blvd, Jefferson City, MO 65109 | 2007-02-06 |
| Street Address |
326 E WHATLEY ST |
| City | POOLER |
| State | GA |
| Zip Code | 31322-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841038 | Kathryn Louis | Doula | 301 Atlanta Ave Se Apt 5, Atlanta, GA 30315-2037 | 2020-11-08 |
| 1134720949 | Columbia Williams | Doula | 1066 Mendell Cir Ne, Brookhaven, GA 30319-2327 | 2020-11-06 |
| 1992305742 | Dasia J Glover | Doula | 2003 Waterford Club Dr, Lithia Springs, GA 30122-4407 | 2020-10-30 |
| 1033716170 | Krystal C Reese | Doula | 682 Sycamore Dr, Jonesboro, GA 30238-3185 | 2020-10-01 |
| 1629684782 | Gabrielle Steward | Doula | 99 Scarlett Ln, Richmond Hill, GA 31324-5888 | 2020-09-23 |
| 1770199713 | Desiree Butler | Doula | 2611 Loghaven Dr Nw, Atlanta, GA 30318-7427 | 2020-09-16 |
| 1588279988 | Delena Sanders | Doula | 5604 Boggs Dr, Stone Mountain, GA 30087-5742 | 2020-09-11 |
| 1699388629 | Saintete' Carter Martinez | Doula | 4084 Quinn Dr, Evans, GA 30809-4820 | 2020-08-28 |
| 1619587656 | Celestine Jones | Doula | 4489 Denise Dr, Decatur, GA 30035-1411 | 2020-08-04 |
| 1427667534 | Shelley Alleyne | Doula | 430 Northrop Pl, Grovetown, GA 30813-2882 | 2020-07-24 |
| 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.