Marissa S Ossorio

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

353007 Issued in TX

Practice address

22924 Silver Chalice
Elmendorf, TX 78112-6004

Phone

(210) 687-2784

NPI assigned

Apr 24, 2020

Last updated

Apr 24, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1659991172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22924 SILVER CHALICE",
            "city": "ELMENDORF",
            "state": "TX",
            "postal_code": "781126004",
            "telephone_number": "210-687-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22924 SILVER CHALICE",
            "city": "ELMENDORF",
            "state": "TX",
            "postal_code": "781126004",
            "telephone_number": "210-687-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSORIO",
        "first_name": "MARISSA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "353007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Elmendorf, TX
• Providers in Elmendorf, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.