Marisa Kassimir, ND
Individual provider Active NPI Naturopath · Frederick, MD
NPI 1104698794 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1104698794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- J0000081 (MD)
- Practice address
- 1611 Rosemont Ave
Frederick, MD 21702-4134 - Phone
- (240) 397-6771
- NPI assigned
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0000081 | MD | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | J0000081 | MD | Yes |
Addresses
Primary practice location
1611 Rosemont Ave
Frederick, MD 21702-4134
Mailing address
4 Avers CT
Reisterstown, MD 21136-5602
Phone (443) 632-4128
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.