Active NPI
Marissa Leigh Wossner, DC
- Chiropractor
- Naperville, IL
National Provider Identifier
1528608452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13020
- Practice address
- 2112 Winding River Dr Ste 120
Naperville, IL 60564-8555 - Phone
- (630) 428-2299
- Fax
- (224) 330-1920
- NPI assigned
- Jan 8, 2020
- Last updated
- Jan 18, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13020 | FL | Primary |
Addresses
Primary practice location
2112 Winding River Dr Ste 120
Naperville, IL 60564-8555
Mailing address
5008 Millenia Palms Dr Apt 1104
Orlando, FL 32839-2229
Phone (815) 409-5291
Other practice location 1
425 Alexandria Blvd Ste 1000
Oviedo, FL 32765-5548
Phone (407) 977-3434
Other practice location 2
1600 N Main St Ste B
Wheaton, IL 60187-3282
Phone (630) 949-2431
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13020 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1528608452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 MILLENIA PALMS DR APT 1104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328392229",
"telephone_number": "815-409-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 WINDING RIVER DR STE 120",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648555",
"telephone_number": "630-428-2299",
"fax_number": "224-330-1920"
}
],
"practiceLocations": [
{
"address_1": "425 Alexandria Blvd Ste 1000",
"address_purpose": "LOCATION",
"city": "Oviedo",
"state": "FL",
"postal_code": "327655548",
"country_code": "US",
"telephone_number": "407-977-3434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 N Main St Ste B",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601873282",
"country_code": "US",
"telephone_number": "630-949-2431",
"fax_number": "224-330-1920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOSSNER",
"first_name": "MARISSA",
"middle_name": "LEIGH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.