Marissa Lynn Mesiya, APRN, IBCLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

004858 Issued in CT

Practice address

1073 N Benson Rd
Fairfield, CT 06824-5171

Phone

(203) 254-4000

NPI assigned

Jul 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marissa.mesiya.2@7895.direct.athenahealth.com

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.

• Children'S Medical Group, LLC

  • Pediatrics Physician
  • Hamden, CT
  • NPI 1588603997

  Family

  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1982157087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 N BENSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 N BENSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245171",
            "telephone_number": "203-254-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIYA",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "085393",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CT",
            "license": "085393",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CT",
            "license": "L-85581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Meltzer, D.O.
• Mental Health Services of Fairfield, LLC
• Megan Nicole Mercer, MS, CCC-SLP
• Kerry Mertz, PT
• Zoya Meshcherina
• Anthony Messina
• William Metzger Jr., LCSW
• Michael J. Brennan, M.D. LLC
• Michael Reitman, LCSW, LLC
• Tasheena Michael

• Family Nurse Practitioner in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.