MARISSA BOEDING (NPI# 1801374889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801374889 |
| Entity Type | Individual |
| Full Name | MARISSA BOEDING |
| Practice Address |
760 Harrison St San Francisco CA 94107-1235 |
| Mailing Address |
127 Brodia Way Walnut Creek CA 94598-4919 |
| Practice Telephone | 4158361700 |
| Mailing Telephone | 5135501376 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95138897 | CA | Nursing Service Providers |
| Street Address |
760 HARRISON ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94107-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848714 | Mary Jocelyn Porquez | Nurse Practitioner | 760 Harrison St, San Francisco, CA 94107-1235 | 2005-11-15 |
| 1245845023 | Yvonne K Yip | Community Health Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2020-09-09 |
| 1497371223 | Danita Ferguson | Community Health Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2020-06-17 |
| 1225683527 | Beejinmaa Tserendondog | Community Health Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-08-05 |
| 1821642778 | Allison Hom | Student in an Organized Health Care Education/Training Program | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-07-30 |
| 1821655630 | Urleana D Wilson | Community Health Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-05-28 |
| 1073170817 | Leon Kermit Garrett Jr. | Community Health Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-05-28 |
| 1649835240 | Stephanie Pang | Student in an Organized Health Care Education/Training Program | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-05-08 |
| 1568025070 | Bernard Chan | Community Health Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-04-19 |
| 1568923894 | City & County of San Francisco | Clinic/Center | 760 Harrison St, San Francisco, CA 94107-1235 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969745 | Munashe Blessing Kaseke | Pharmacist | 1400 Tennessee St, Suite #2, San Francisco, CA 94107 | 2020-07-11 |
| 1598380891 | Alina Marshall | Technician, Other | 795 Folsom Street, 1st Floor, San Francisco, CA 94107 | 2020-06-11 |
| 1316582141 | Orapin Horst Dental Corporation | Dentist | 238 Shipley Street, San Franciscoq, CA 94107 | 2019-11-15 |
| 1497225239 | Jennifer Mclean | Physical Medicine & Rehabilitation | 105 Freelon St. #7, San Francisco, CA 94107 | 2018-12-04 |
| 1689183725 | Joyce Elizabeth Jacobs | Specialist | Sommhs, 760 Harrison Street, San Francisco, CA 94107 | 2017-09-20 |
| 1346767357 | Brittani A Toy | Technician, Other | 795 Folsom St. 1st Floor, San Francisco, CA 94107 | 2017-08-29 |
| 1942746276 | Marija Colic | Behavioral Analyst | 795 Folsom Street, San Francisco, CA 94107 | 2017-01-10 |
| 1861840340 | Calvin Shapses | Internal Medicine | 730 Harrison Street, Suite 100, San Francisco, CA 94107 | 2016-05-25 |
| 1568857290 | Loop Optometry | Optometrist | 252 5th Street, San Francisco, CA 94107 | 2015-03-31 |
| 1174914147 | Jake Wood Putnam Bagley | Physical Therapist | 303 2nd St Ste 115c, San Francisco, CA 94107 | 2015-02-12 |
| Find all providers in zip 94107 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811201932 | Jocelyne M Nielsen | Registered Nurse | 465 Brussels St, San Francisco, CA 94134-1711 | 2010-07-30 |
| 1831221217 | Kim Yoong Yong | Registered Nurse | 3544 Anza St, San Francisco, CA 94121-2927 | 2007-03-11 |
| 1891832358 | Bethany Joyce Phoenix | Registered Nurse | 3180 18th St, Ste. 202, San Francisco, CA 94110-2043 | 2007-01-31 |
| 1649895491 | Elizabeth Reasoner | Registered Nurse | 1563 Mission St, San Francisco, CA 94103-2543 | 2020-06-08 |
| 1760049233 | Beth Nielsen | Registered Nurse | 2 Koret Way, San Francisco, CA 94143-2218 | 2019-05-21 |
| 1861974214 | Chinaemerem Nwaokoro | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110 | 2018-09-02 |
| 1033691480 | Joseph Jack Rose | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110 | 2018-09-02 |
| 1235619685 | Shannon Tam | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2018-08-15 |
| 1831687433 | Annabel Hertz | Registered Nurse | 1421 Broderick St, San Francisco, CA 94115-3304 | 2018-04-29 |
| 1407362676 | Nancy Gudino | Registered Nurse | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2017-12-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94107 |
Please comment or provide details below to improve the information on MARISSA BOEDING.
| 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.