Active NPI
Marissa Carmella Rimer
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1750641015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11081
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11081 | NC | MD | Physical Therapist |
| SP 19314 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover Medical Group PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
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.