Marisa Stapleton, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

290738 Issued in AZ

Practice address

17751 W Villa Chula LN
Surprise, AZ 85387-4049

Phone

(909) 938-9527

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stapleton Integrative Wellness, LLC

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1710854500
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1043039027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17751 W VILLA CHULA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853874049",
            "telephone_number": "909-938-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 W VILLA CHULA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853874049",
            "telephone_number": "909-938-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16404 N Black Canyon Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850534058",
            "country_code": "US",
            "telephone_number": "909-938-9527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "MARISA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "290738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Stahl, PHARMD
• Alexia Stamas
• Stand ABA Therapy, LLC
• Desiree Dawn Stang, LPC, CADC III
• Stapleton Integrative Wellness, LLC
• Alexander Jonathon Stark, MS
• Alexandria Stark
• Stay Warm in Style LLC (TressPerfection)
• Steele Dental Group
• Nicole Leigh Steele, MS, BCBA, LBA

• Psychiatric/Mental Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.