Active NPI
Maressa K Carter
- Behavior Technician
- Columbus, OH
National Provider Identifier
1225522790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- TP344914
- Practice address
- 735 Pierce Dr
Columbus, OH 43223 - Phone
- (740) 542-9290
- NPI assigned
- Jun 19, 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TP344914 | OH | Primary |
Addresses
Primary practice location
735 Pierce Dr
Columbus, OH 43223
Mailing address
765 Pierce Dr
Columbus, OH 43223-2425
Phone (614) 223-1650
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
| License | State | Type | Specialty |
|---|---|---|---|
| TP344914 | OH | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1225522790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 PIERCE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432232425",
"telephone_number": "614-223-1650",
"fax_number": "888-679-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PIERCE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43223",
"telephone_number": "740-542-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARESSA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "TP344914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.