Individual provider Active NPI

Marissa Ellyn Davis, NHCM, CPM

  • Midwife
  • Hooksett, NH
National Provider Identifier
1053732503
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
1069 Issued in NH
Practice address
60 Princeton Dr Unit 204
Hooksett, NH 03106-1738
Phone
(603) 217-5751
Fax
(603) 255-7704
NPI assigned
Jan 1, 2014
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 1069 NH Primary

Addresses

Primary practice location

60 Princeton Dr Unit 204
Hooksett, NH 03106-1738

Mailing address

60 Princeton Dr Unit 204
Hooksett, NH 03106-1738
Phone (603) 217-5751

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

State licenses

LicenseStateTypeSpecialty
1069NHMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1053732503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PRINCETON DR UNIT 204",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061738",
            "telephone_number": "603-217-5751",
            "fax_number": "603-255-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PRINCETON DR UNIT 204",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061738",
            "telephone_number": "603-217-5751",
            "fax_number": "603-255-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARISSA",
        "middle_name": "ELLYN",
        "credential": "NHCM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-01",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NH",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooksett, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.