MARISSA PETERSON (NPI# 1669633590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669633590 |
| Entity Type | Individual |
| Full Name | MARISSA PETERSON |
| Credential | MA/CCC-SLP |
| Practice Address |
545 Lincoln Dr Idaho Falls ID 83401-4118 |
| Mailing Address |
Po Box 2943 Idaho Falls ID 83403-2943 |
| Practice Telephone | 2087578553 |
| Mailing Telephone | 2087578553 |
| Mailing Fax Number | 2085241929 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2009-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1685 | ID | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649821307 | Marissa Lynn Peterson | Doula | 326 E Whatley St, Pooler, GA 31322-3230 | 2019-09-24 |
| 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 |
545 LINCOLN DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427536614 | Peterson Therapy Services, Inc | Developmental Therapist | 545 Lincoln Dr, Idaho Falls, ID 83401 | 2018-07-31 |
| 1497188387 | Peterson Speech Therapy | Speech-Language Pathologist | 545 Lincoln Dr, Idaho Falls, ID 83401-4118 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| 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 |
|---|---|---|---|---|
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1083111561 | Kieryae Hess | Speech-Language Pathologist | 5710 S 45th E, Idaho Falls, ID 83406-8019 | 2018-04-10 |
| 1568976934 | Peter Nieman | Speech-Language Pathologist | 2860 Channing Way Ste 100, Idaho Falls, ID 83404-7531 | 2017-11-21 |
| 1518310168 | Candice Joann Perry | Speech-Language Pathologist | 3069 Disney Dr, Idaho Falls, ID 83404-7320 | 2016-07-19 |
| 1760848113 | Melissa Helene Garner | Speech-Language Pathologist | 2960 Kevin Cir, Idaho Falls, ID 83402-6102 | 2016-01-14 |
| 1477921567 | Debra Hogg | Speech-Language Pathologist | 919 S Utah Ave, Idaho Falls, ID 83402-3322 | 2015-09-08 |
| 1912374414 | Savannah Leckington | Speech-Language Pathologist | 925 S Utah Ave, Idaho Falls, ID 83402-3322 | 2015-09-01 |
| 1194192955 | Jennifer Overton | Speech-Language Pathologist | 1300 Lowell Dr, Idaho Falls, ID 83402-5172 | 2015-08-27 |
| 1568839306 | Samantha Hamilton | Speech-Language Pathologist | 1746 Ironwood Dr, Idaho Falls, ID 83402-5552 | 2015-08-27 |
| 1912304163 | Michelle Anderson | Speech-Language Pathologist | 125 Arden Dr, Idaho Falls, ID 83404-7902 | 2014-12-02 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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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.