Marissa Lynn Cardenas

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60973744 Issued in WA

Practice address

319 S Cedar St
Spokane, WA 99201-7029

Phone

(509) 209-7429

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By 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 names 1

• Marissa Lynn Trevino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sparc Health PLLC

  • Hearing and Speech Clinic/Center
  • Bellevue, WA
  • NPI 1952925521
  NPD (past)
• SSPT Clinic

  • Occupational Therapist
  • Spokane, WA
  • NPI 1841735834

  Speech-Language Pathologist

  NPD (past)
• Stepping Stones Pediatric Therapy

  • Pediatric Occupational Therapist
  • Spokane, WA
  • NPI 1427221761
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1689235327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 E 24TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233931",
            "telephone_number": "509-790-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-209-7429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3508 E 24th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992233931",
            "country_code": "US",
            "telephone_number": "509-790-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60973744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "TREVINO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanna Lavaune Carbury, MSW
• Sha'Naiah Jean Card
• Christina Jill Cardella, LMP
• Sarah Anne Cardella
• Jessica L Carden
• Suzanne M Cardenas, AAC, CPC
• Cardinal Support Wa LLC
• Cardiology Associates of Spokane LLC
• Cardiovascular Institute II, P.C.
• Kari A. Cardon, LASW, CMHS

• Speech-Language Pathologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.