Active NPI
Marissa Lynn Byrum, MSOM, AP DOM (IN FL)
- Acupuncturist
- Tampa, FL
National Provider Identifier
1639455603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 3035
- Practice address
- 1947 Gregory Dr
Tampa, FL 33613-2540 - Phone
- (813) 421-9024
- NPI assigned
- Oct 22, 2011
- Last updated
- Jun 22, 2015
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 3035 | FL | Primary |
Addresses
Primary practice location
1947 Gregory Dr
Tampa, FL 33613-2540
Mailing address
1947 Gregory Dr
Tampa, FL 33613-2540
Phone (813) 421-9024
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 3035 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1639455603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 GREGORY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132540",
"telephone_number": "813-421-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 GREGORY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132540",
"telephone_number": "813-421-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRUM",
"first_name": "MARISSA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MSOM, AP DOM (IN FL)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 3035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.