Marissa Jo Roman, NP STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

158455 Issued in IA

Practice address

5350 Eastern Ave
Davenport, IA 52807-2738

Phone

(563) 355-1853

NPI assigned

Aug 10, 2026

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036

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

• Obstetrics and Gynecology Specialists PC

  • Obstetrics & Gynecology Physician
  • Davenport, IA
  • NPI 1427003011
  NPD (past)

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1851216980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 40TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013833",
            "telephone_number": "309-269-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072738",
            "telephone_number": "563-355-1853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 E Rusholme St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528032459",
            "country_code": "US",
            "telephone_number": "563-421-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MARISSA",
        "middle_name": "JO",
        "credential": "NP STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "158455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Rohlf, M.D.
• Paul Leon Rohlf, M.D.
• Marie Rohrer, ARNP
• Matthew G. Rokes, DPT
• Mary Evelyn Rollins
• Leslie Romang, LISW
• Cole Clayton Romdall
• Kunmin Roo
• Root & Rise Family Health PLLC
• Rooted Learning Behavioral Services

• Student in an Organized Health Care Education/Training Program in Davenport, IA
• Providers in Davenport, IA by specialty
• Student in an Organized Health Care Education/Training Program in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.