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MARISSA ROSE LEAVERSUCH CPNP
NPI 1538318993
Nurse Practitioner - Pediatrics in Revere, MA

Active since September 10, 2008
280 BEACH STREET, REVERE, MA 02151(781) 289-5057(781) 289-4485 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Rose Leaversuch Cpnp NPPES

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

MARISSA ROSE LEAVERSUCH CPNP (NPI 1538318993) is an individual pediatrics provider in Revere, Massachusetts, licensed in Massachusetts (RN260274) and active in the NPI registry since September 2008. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1538318993
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARISSA ROSE LEAVERSUCHCredential: CPNP
Location Address280 BEACH STREETRevere, MA 02151
Mailing Address280 Beach StreetRevere, MA 02151 · (781) 289-5057 · Fax (781) 289-4485
Phone(781) 289-5057
Fax(781) 289-4485
Sole ProprietorNo
Enumeration DateSeptember 10, 2008
Last NPPES UpdateJuly 3, 2019
✔ NPI 1538318993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN260274
280 BEACH STREET, Revere, MA 02151
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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REVERE WINTHROP PEDIATRICS
Pediatrics
280 BEACH STREET
REVERE, MA 02151
Suffolk County (781) 289-5057

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 Marissa Leaversuch's NPI number?

The NPI number for Marissa Leaversuch is 1538318993. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Marissa Leaversuch located?

Marissa Leaversuch practices at 280 Beach Street, Revere, MA 02151. The listed phone number is (781) 289-5057.

What is Marissa Leaversuch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Marissa Leaversuch was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.