Individual provider Active NPI

Marisa Parand, NP

  • Family Nurse Practitioner
  • Holbrook, MA
National Provider Identifier
1992396030
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2328190 Issued in MA
Practice address
175 N Franklin St
Holbrook, MA 02343-1171
Phone
(781) 767-0910
NPI assigned
Feb 1, 2021
Reactivated
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2328190 MA Primary

Addresses

Primary practice location

175 N Franklin St
Holbrook, MA 02343-1171

Mailing address

21 Clewes Rd
Millis, MA 02054-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921003898 DC Practitioner - Nurse Practitioner 3971957119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sechoir Blow Dry Bar, LLCGroup PAC ID 6608301742, 5 clinicians

Practice addresses (Care Compare)

2672 J Avenir Place
Vienna, VA 22180-7193
Phone (703) 698-8162

7504 Iron Bar LN
Gainesville, VA 20155-2999
Phone (703) 214-6984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2328190MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allphases Dermatology LLC CurrentSince Aug 15, 2023 Accepting new patients
Sechoir Blow Dry Bar, LLC CurrentSince Nov 1, 2024 Accepting new patients
Community Medical Associates, Inc. PastSince Feb 1, 2021 Accepting new patients
CVS Pharmacy Inc PastSince Feb 1, 2021 Accepting new patients

Locations

6355 Walker Ln
Ste 311
Alexandria, VA 22310
Phone (703) 822-0222

7504 Iron Bar Ln
Gainesville, VA 20155
Phone (703) 214-6984

1400 Chain Bridge Rd
Ste 102
McLean, VA 22101

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1992396030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CLEWES RD",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N FRANKLIN ST",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431171",
            "telephone_number": "781-767-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAND",
        "first_name": "MARISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "deactivation_date": "2021-02-24",
        "reactivation_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2328190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, MA

Sources for this page

Verify at the official NPI Registry.