Marisa Parand, NP
Individual provider Active NPI Family Nurse Practitioner · Holbrook, MA
NPI 1992396030 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1992396030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2328190 (MA)
- Practice address
- 175 N Franklin St
Holbrook, MA 02343-1171 - Phone
- (781) 767-0910
- NPI assigned
- Feb 1, 2021
- Reactivated
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230921003898 | DC | Practitioner - Nurse Practitioner | 3971957119 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2328190 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sechoir Blow Dry Bar, LLC | Current |
Accepting new patients | |
| Allphases Dermatology LLC | Current |
Accepting new patients | |
| CVS Pharmacy Inc | Past |
Accepting new patients | |
| Community Medical Associates, Inc. | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2328190 | MA | Yes |
Addresses
Primary practice location
175 N Franklin St
Holbrook, MA 02343-1171
Mailing address
21 Clewes Rd
Millis, MA 02054-1510
Other providers in Holbrook, MA
- Evangeline Olachi Nosike
- Nurse'S Square PLLC
- Jessica Marie Oneill
- Pamela Chinwe Oriaku
- Samuel Oriaku
- Junior Paris
- Passionate Care Providers
- Janet E. Paul
- Pearl Dental Implant LLC
- Carmelle Jacques Pierre-Louis
All providers in Holbrook, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.