Marisa Martin, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

12578284-4405 Issued in UT

Practice address

10808 S River Front Pkwy Ste 3133
South Jordan, UT 84095-5759

Phone

(325) 939-3835

NPI assigned

Aug 5, 2026

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1871417790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 3133",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 3133",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955759",
            "telephone_number": "325-939-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARISA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "12578284-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marchant
• Patrick W Marcroft, MD
• Luz Patricia Mariscal Ortiz
• Kathryn Renee Marshall, P.A.-C
• Kelby Martin, D.C.
• Rodolfo Martinez Ferrate, MD
• Alecia Martinez
• Ashlynn Marie Martinez, PA
• Amanda Rose Mateer, PHARMD
• Matthew Maya

• Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.