Active NPI
Marisa Leigh Parker, ANP-BC, CVNP-BC
- Adult Health Nurse Practitioner
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 16245
- Practice address
- 450 Blossom St Ste D
Webster, TX 77598-4200 - Phone
- (832) 905-5940
- NPI assigned
- Nov 8, 2011
- Last updated
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1068733 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 16245 | TN | Primary |
Addresses
Primary practice location
450 Blossom St Ste D
Webster, TX 77598-4200
Mailing address
450 Blossom St Ste D
Webster, TX 77598-4200
Phone (832) 905-5940
Other practice location 1
2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6583
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marissa.burns.1@1525.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
304 Margie Dr
Warner Robins, GA 31088-7817
Phone (478) 741-1208
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16245 | TN | MD | Medical Oncology Physician |
| 1068733 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPF Cardiology Associates, P.a. | Current | Accepting new patients | |
| Central Georgia Heart Center, PC | Current | Accepting new patients | |
| Central Georgia Heart Center, PC | Current | Accepting new patients |
Locations
1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (912) 743-7068
2960 Riverside Dr
Macon, GA 31204
750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024
750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670
304 Margie Dr
Warner Robins, GA 31088
Phone (478) 333-2965
6807 Emmett F Lowry Expy
Ste 302D
Texas City, TX 77591
Phone (832) 905-5940
450 Blossom St
Ste D
Webster, TX 77598
Phone (832) 905-4044
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGEADD
- marissa.burns.1@1525.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Central Georgia Heart Center
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1780779363
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1669259669
-
- Phlebology Physician
- Macon, GA
- NPI 1710382320
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
dba Piedmont Macon North Hospital
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
dba Atrium Health Navicent Peach
- Critical Access Hospital
- Byron, GA
- NPI 1114923406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1962789651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BLOSSOM ST STE D",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984200",
"telephone_number": "832-905-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BLOSSOM ST STE D",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984200",
"telephone_number": "832-905-5940"
}
],
"practiceLocations": [
{
"address_1": "2305 Chambliss Ave NW",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373113847",
"country_code": "US",
"telephone_number": "423-559-6583",
"fax_number": "423-559-6867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "MARISA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "ANP-BC, CVNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2022-05-03",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1068733",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "16245",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marissa.burns.1@1525.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "2305 Chambliss Ave NW",
"city": "Cleveland",
"state": "TN",
"country_code": "US",
"postal_code": "373113847",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.