MARYSE S ETHIER (NPI# 1356932297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356932297 |
| Entity Type | Individual |
| Full Name | MARYSE S ETHIER |
| Gender | Female |
| Credential | RD |
| Practice Address | 3841 Basilone St Unit 4 San Diego CA 92110-5409 |
| Practice Telephone | 7068301159 |
| Mailing Address | 3841 Basilone St Unit 4 San Diego CA 92110-5409 |
| Mailing Telephone | 7068301159 |
| Certification Date | 2021-02-02 |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 133VN1201X | 86115712 | GA |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDR | 86115712 | Other |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| CONNECT URL | laptop (Microsoft surface laptop) | 3841 Basilone St Unit 4, San Diego, CA 921105409 | Health Information Exchange (HIE) | CSV |
| Street Address | 3841 BASILONE ST UNIT 4 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse · Psychiatric/Mental Health, Adult | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. · San Diego Lighthouse | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| City | SAN DIEGO |
| Zip Code | 92110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134406119 | Danielle Ethier Laygo · Danielle Allyse Ethier | Physical Therapist | 1910 N Church St, Ste D, Greensboro, NC 27405-5666 | 2011-11-04 |
| 1952819278 | Maryse Williams · Maryse Joseph Williams | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2018-01-22 |
| 1134318413 | Maryse I Tessier · Maryse I Tessier | Dentist · General Practice | 2801 Glenwood Rd, Brooklyn, NY 11210-2401 | 2007-10-23 |
| 1730154493 | Anne-Marie Ethier Hain · Anne-Marie Mcdonald Ethier | Pediatrics | 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490 | 2006-02-17 |
| 1184190340 | Maryse Nagy Wadie Wassef · Maryse Nagy Wadie Messiha | Pharmacist | 740 W Alluvial Ave Ste 101, Fresno, CA 93711-5509 | 2018-10-15 |
| 1730560632 | Kady Ethier | Behavior Analyst | 109 Oak St Ste G10, Newton, MA 02464-1492 | 2015-06-16 |
| 1992095798 | Wayne Ethier | Licensed Practical Nurse | 21 Fox Run, Apt 6, Marshfield, MA 02050-2283 | 2011-04-13 |
| 1891172185 | Moira Ethier | Specialist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2015-05-06 |
| 1588789028 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 10 Ethier Way, Cumberland, RI 02864-4910 | 2007-03-21 |
| 1851467963 | Andrew C Ethier | Counselor · Mental Health | 83 Sunset Dr, Charlton, MA 01507-5434 | 2006-11-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.