Active NPI
Marissa Rose Harris, MS ATC
- Athletic Trainer
- Mission Hills, CA
National Provider Identifier
1043712672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000015889
- Practice address
- 11111 Alemany Dr
Mission Hills, CA 91345-1105 - Phone
- (818) 365-2935
- NPI assigned
- Feb 28, 2018
- Last updated
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000015889 | CA | Primary |
Addresses
Primary practice location
11111 Alemany Dr
Mission Hills, CA 91345-1105
Mailing address
11111 Alemany Dr
Mission Hills, CA 91345-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000015889 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1043712672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 ALEMANY DR",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 ALEMANY DR",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451105",
"telephone_number": "818-365-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARISSA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "MS ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000015889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Hills, CA
- David E Hanpeter, MD
- Harbor Care Foundation, Inc.
- Harmony MSW Inc
- Ajila Harris, LCSW
- Lele C Harris, M.D.
- Hasan and Hosseini DDS Corporation (devonshire dental group)
- Ladan Hassanzadeh-Khayyat
- Bradley David Hatfield, M.D.
- Hathaway Sycamores Child and Family Services (Sycamores)
- Havana Home Health, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.