Marissa Kathelene Weston

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

24851 Issued in NE

Practice address

9239 W Center Rd Ste 100
Omaha, NE 68124-1900

Phone

(402) 399-8888

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By 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

Practice roles

Locations

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.

• Maxim Healthcare Service

  • Home Health Agency
  • Omaha, NE
  • NPI 1659268571
  NPD Authorized official

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1720969603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-399-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "MARISSA",
        "middle_name": "KATHELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "24851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Avenue Senior Living Op Co, LLC (Astoria Senior Living)
• Western Iowa Dental Group,PC (Western Iowa Dental Group)
• Lori Westlund
• Cynthia A Weston, CRNA
• Dee R Weston, CRNA
• Jeana R Westover, APRN
• Scott Gregory Westphal, M.D.
• Ashley Westphalen
• Westroads Medical Group, P.C.
• Westroads Rheumatology Associates PC

• Licensed Practical Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.