Individual provider Active NPI

Marissa Meisler

  • Speech-Language Pathologist
  • Pawtucket, RI
National Provider Identifier
1124281183
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7456 Issued in MA
Practice address
750 East Ave
Pawtucket, RI 02860
Phone
(401) 474-9376
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP01331 RI
Speech-Language Pathologist 235Z00000X 7456 MA Primary

Addresses

Primary practice location

750 East Ave
Pawtucket, RI 02860

Mailing address

6 Aster LN
Hope, RI 02831-1554
Phone (401) 474-9376

Other practice location 1

2250 Hickory Rd
Ste 240
Plymouth Meeting, PA 19462-1047
Phone (610) 834-1122

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
7456MAMDSpeech-Language Pathologist
SP01331RIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1124281183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ASTER LN",
            "city": "HOPE",
            "state": "RI",
            "postal_code": "028311554",
            "telephone_number": "401-474-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-474-9376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Hickory Rd",
            "address_2": "Ste 240",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621047",
            "country_code": "US",
            "telephone_number": "610-834-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISLER",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01331",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

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

Verify at the official NPI Registry.