Individual provider Active NPI

Marissa Lynn Yahil

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1164946893
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
17430 Campbell Rd Ste 107
Dallas, TX 75252-5297
Phone
(214) 892-2968
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-302681
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

17430 Campbell Rd Ste 107
Dallas, TX 75252-5297

Mailing address

17430 Campbell Rd Ste 107
Dallas, TX 75252-5297
Phone (214) 892-2968

Other names 1

  • Marissa Lynn Cecala Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL intakeq

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lactation & Development Resources LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

17430 Campbell Rd
Ste 107
Dallas, TX 75252
Phone (214) 892-2968

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1164946893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525297",
            "telephone_number": "214-892-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525297",
            "telephone_number": "214-892-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHIL",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-302681",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "intakeq",
            "affiliation": "N",
            "endpointDescription": "EHR system used",
            "address_1": "17430 Campbell Rd Ste 107",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "CECALA",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.