MARISA DIANNA MACK
NPI 1447190129
Nurse Practitioner in Tacoma, WA

Q: What is Marisa Mack's NPI number?

The NPI number for Marisa Mack is 1447190129. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Q: What is Marisa Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Mack was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 31, 2026

12180 PARK AVE S, TACOMA, WA 98447(253) 535-7411 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marisa Dianna Mack NPPES

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

MARISA DIANNA MACK (NPI 1447190129) is an individual nurse practitioner in Tacoma, Washington, licensed in Washington (RN61087194) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1447190129

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARISA DIANNA MACK

Location Address12180 PARK AVE STacoma, WA 98447-0001

Mailing Address12180 Park Ave STacoma, WA 98447-0001 · (253) 535-7411

Phone(253) 535-7411

Sole ProprietorNo

Enumeration DateMarch 31, 2026

NPPES CertifiedMarch 31, 2026

✔ NPI 1447190129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · RN61087194

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12180 PARK AVE S, Tacoma, WA 98447

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