Individual provider Active NPI

Marrieta Juan

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1861947616
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
154109 Issued in AK
Practice address
6927 Old Seward Hwy.
Ste. 100
Anchorage, AK 99518
Phone
(907) 345-0050
Fax
(907) 344-5103
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 3169 CA
Speech-Language Pathologist 235Z00000X 154109 AK Primary

Addresses

Primary practice location

6927 Old Seward Hwy.
Ste. 100
Anchorage, AK 99518

Mailing address

6927 Old Seward Hwy.
Ste. 100
Anchorage, AK 99518
Phone (907) 345-0050

Other names 1

  • Marrieta Orsbun Former name

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

LicenseStateTypeSpecialty
154109AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Pediatric Therapy Clinic Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients
Kids First Pediatric Therapy Past Accepting new patients

Locations

6927 Old Seward Hwy
Ste 100
Anchorage, AK 99518
Phone (907) 345-0050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1861947616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 OLD SEWARD HWY.",
            "address_2": "STE. 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99518",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 OLD SEWARD HWY.",
            "address_2": "STE. 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99518",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAN",
        "first_name": "MARRIETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3169",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "154109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARRIETA",
            "last_name": "ORSBUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.