Active NPI
Marisa Catherine Thurn, L.M.T.
- Phlebotomy Technician
- Indianapolis, IN
National Provider Identifier
1891032470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- Q4X8C6F4
- Practice address
- 1301 Fletcher Ave
Indianapolis, IN 46203-1140 - Phone
- (317) 514-5089
- Fax
- (317) 677-8691
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT20900414 | IN | |
| Phlebotomy Technician | 246RP1900X | Q4X8C6F4 | IN | Primary |
Addresses
Primary practice location
1301 Fletcher Ave
Indianapolis, IN 46203-1140
Mailing address
1301 Fletcher Ave
Indianapolis, IN 46203-1140
Phone (317) 514-5089
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT20900414 | IN | MD | Massage Therapist |
| Q4X8C6F4 | IN | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1891032470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 FLETCHER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462031140",
"telephone_number": "317-514-5089",
"fax_number": "317-677-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 FLETCHER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462031140",
"telephone_number": "317-514-5089",
"fax_number": "317-677-8691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURN",
"first_name": "MARISA",
"middle_name": "CATHERINE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT20900414",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "IN",
"license": "Q4X8C6F4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.