MARIAH LYNN DEGUSSEME FNP-C
NPI 1194430173
Nurse Practitioner - Family in Lone Tree, CO

Q: What is Mariah Degusseme's NPI number?

The NPI number for Mariah Degusseme is 1194430173. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Mariah Degusseme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mariah Degusseme was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2023

9362 TEDDY LN STE 103&104, LONE TREE, CO 80124(303) 955-7545 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mariah Lynn Degusseme Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAH LYNN DEGUSSEME FNP-C (NPI 1194430173) is an individual family provider in Lone Tree, Colorado, licensed in Colorado (0998274) and active in the NPI registry since January 2023. She maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1194430173

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIAH LYNN DEGUSSEMECredential: FNP-C

Location Address9362 TEDDY LN STE 103&104Lone Tree, CO 80124-2870

Mailing Address3424 Meade StDenver, CO 80211-3141 · (760) 650-5773

Phone(303) 955-7545

Sole ProprietorNo

Enumeration DateJanuary 13, 2023

NPPES CertifiedJanuary 13, 2023

✔ NPI 1194430173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · 0998274

9362 TEDDY LN STE 103&104, Lone Tree, CO 80124

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Secondary Practice Location 1

Location 13424 Meade StDenver, CO 80211-3141 · Phone (760) 650-5773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariah Degusseme's NPI number?

The NPI number for Mariah Degusseme is 1194430173. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Mariah Degusseme located?

Mariah Degusseme practices at 9362 Teddy Ln Ste 103&104, Lone Tree, CO 80124. The listed phone number is (303) 955-7545.

What is Mariah Degusseme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mariah Degusseme was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.