Active NPI
Marissa Wright
- Peer Specialist
- Norfolk, NE
National Provider Identifier
1730917022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPSS-230
- Practice address
- 1203 S 8TH St
Norfolk, NE 68701-5875 - Phone
- (402) 371-0220
- NPI assigned
- Jul 26, 2024
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPSS-230 | NE | Primary |
Addresses
Primary practice location
1203 S 8TH St
Norfolk, NE 68701-5875
Mailing address
1203 S 8TH St
Norfolk, NE 68701-5875
Phone (402) 371-0220
Other names 1
- Marissa Freemont
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 |
|---|---|---|---|
| CPSS-230 | NE | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1730917022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 S 8TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687015875",
"telephone_number": "402-371-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 S 8TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687015875",
"telephone_number": "402-371-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NE",
"license": "CPSS-230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "FREEMONT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.