Marissa Elizabeth Kientz, REGISTERED NURSE

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

718949 Issued in CA

Practice address

2515 Ramfos PL
San Diego, CA 92139-2822

Phone

(619) 863-3540

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1912597501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 RAMFOS PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392822",
            "telephone_number": "619-863-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 RAMFOS PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392822",
            "telephone_number": "619-863-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENTZ",
        "first_name": "MARISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "718949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia J Kiel, M.A., CCC/SLP
• Christopher J. Kielich, M.D.
• Kien Ta Chiropractic Inc (CK Chiropractic Center)
• Sokunthea Melody Kieng
• Caroline Marie Kienlen
• Emily N. Kierce, PSY.D.
• Kierian B. Kuklok, MD, DDS, Inc. (Carmel Mountain Oral & Facial Surgery)
• Patrick Thomas Kiernan, DO
• Robert Kiernan, P.A.
• Kierrin Medical, LLC

• Maternal Newborn Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Maternal Newborn Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.