Individual provider Active NPI

Marissa Griffin, WHNP

  • Women's Health Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1366050809
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
211703 Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 200
Hammond, LA 70403-1431
Phone
(985) 230-7650
Fax
(985) 230-7655
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 211703 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 200
Hammond, LA 70403-1431

Mailing address

15748 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663

Other practice location 1

15778 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663

Other practice location 2

15748 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663

Other names 1

  • Marissa Cannon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019000408 LA Practitioner - Nurse Practitioner 0446670194 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Suite 200
Hammond, LA 70403-1431
Phone (985) 230-7650

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Aug 15, 2022 Accepting new patients
North Oaks Obstetrics & Gynecology CurrentSince Jul 28, 2020 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 1, 2025 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Aug 15, 2022 Accepting new patients
North Oaks Obstetrics & Gynecology Past Accepting new patients

Locations

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

3401 North Blvd
Ste 100
Baton Rouge, LA 70806
Phone (225) 381-2621

15748 Medical Arts Dr
Hammond, LA 70403
Phone (985) 542-0663

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15778 Medical Arts Dr
Hammond, LA 70403
Phone (985) 542-0663

17199 Spring Ranch Rd
Ste 210G
Livingston, LA 70754
Phone (225) 686-4960

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1366050809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15748 MEDICAL ARTS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-542-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 200",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15778 Medical Arts Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031446",
            "country_code": "US",
            "telephone_number": "985-542-0663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15748 Medical Arts Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031446",
            "country_code": "US",
            "telephone_number": "985-542-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MARISSA",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "211703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "CANNON",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.