Marisa Gabrielle Nieto

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

601 Court St Ste 100
Jackson, CA 95642-2162

Phone

(209) 257-1244

NPI assigned

Nov 27, 2018

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

Practice roles

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.

• H.O.P.E. Consulting, LLC

  • Behavior Analyst
  • Fair Oaks, CA
  • NPI 1700018025
  NPD (past)
• Sierra Child & Family Services

  • Community/Behavioral Health Agency
  • Jackson, CA
  • NPI 1487053542
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1417427014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 CALIFORNIA AVE STE 15",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287156",
            "telephone_number": "916-863-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COURT ST STE 100",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422162",
            "telephone_number": "209-257-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "MARISA",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D Murrell, MD
• Carole Patricia Myers, PHN
• Nexus Youth & Family Services
• Van Giang Nguyen
• Jamie Niday, LVN
• Patricia Jo Noll, LAC
• Dennis A Nousaine, M.D.
• Aline B. Nunes, NP
• Tanya O'Geen
• Geraldine Terese O'Shea, DO

• All providers in Jackson, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.