Marissa D Parker, ,MSED, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6797 Issued in TX

Practice address

3002 Parkridge Dr
Corinth, TX 76210-2228

Phone

(409) 497-6176

Fax

(940) 497-1523

NPI assigned

Aug 9, 2013

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1245663582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 INWOOD DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694840",
            "telephone_number": "323-646-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 PARKRIDGE DR",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102228",
            "telephone_number": "409-497-6176",
            "fax_number": "940-497-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARISSA",
        "middle_name": "D",
        "credential": ",MSED, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Michelle Page
• Amy Wristen Pape, PHD, LMFT
• Deanna Renee Parise-Kelley, MS, CCC-SLP
• Jinwoo Park, DDS
• Joan Elizabeth Parker, P.T.
• Vidhi Patel, M.D.
• Lesia Zan Paup, BSN RN
• Rachel Renee Pavlov, LPC, LCDC
• Pediatric Therapy & Activity Center
• Pediatric Therapy & Activity Center

• Athletic Trainer in Corinth, TX
• Providers in Corinth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.