Individual provider Active NPI

Marissa Carmella Rimer

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1750641015
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11081 Issued in NC
Practice address
7840 Mission Center CT
Suite 200
San Diego, CA 92108-1319
Phone
(619) 692-0622
Fax
(619) 692-0644
NPI assigned
May 21, 2012
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 19314 CA
Speech-Language Pathologist 235Z00000X 11081 NC Primary

Addresses

Primary practice location

7840 Mission Center CT
Suite 200
San Diego, CA 92108-1319

Mailing address

7840 Mission Center CT
Suite 200
San Diego, CA 92108-1319
Phone (619) 692-0622

Other practice location 1

1509 Doctors Cir Bldg C
Wilmington, NC 28401-7403
Phone (910) 662-7500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11081NCMDPhysical Therapist
SP 19314CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hanover Medical Group PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrimer1250974@direct.novanthealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1750641015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081319",
            "telephone_number": "619-692-0622",
            "fax_number": "619-692-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081319",
            "telephone_number": "619-692-0622",
            "fax_number": "619-692-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Doctors Cir Bldg C",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017403",
            "country_code": "US",
            "telephone_number": "910-662-7500",
            "fax_number": "910-662-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIMER",
        "first_name": "MARISSA",
        "middle_name": "CARMELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 19314",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.