Marla Claire Cissell

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

315 E Union Ave
Osceola, AR 72370-3235

Phone

(870) 563-1331

Fax

(870) 563-1211

NPI assigned

Jul 9, 2013

Last updated

Mar 16, 2016By 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

Other identifiers 1

Other names 1

• Miss Marla Claire Lace Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1457792202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E UNION AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703235",
            "telephone_number": "870-563-1331",
            "fax_number": "870-563-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E UNION AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703235",
            "telephone_number": "870-563-1331",
            "fax_number": "870-563-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISSELL",
        "first_name": "MARLA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196878795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "LACE",
            "middle_name": "CLAIRE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marvin Carr
• Danise Chandler, MHPP
• Michelle Chapman
• Shari Kay Chastain, COTA
• CHC Harris Healthcare, LLC (Harris Health and Rehab)
• CJMH, LLC (Arkansas Eye Site)
• Byron Royce Collins, MHPP
• Vickie Cook
• Terry Mae Cooper, LCSW
• Ollie Cox III, L.A.C.

• Day Training/Habilitation Specialist in Osceola, AR
• Providers in Osceola, AR by specialty
• Day Training/Habilitation Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.