Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISSA JO ROMAN NP STUDENT
NPI 1851216980
Student in an Organized Health Care Education/Training Program in Davenport, IA

Active since August 10, 2026
5350 EASTERN AVE, DAVENPORT, IA 52807(563) 355-1853 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Jo Roman Np Student NPPES

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

MARISSA JO ROMAN NP STUDENT (NPI 1851216980) is an individual student in an organized health care education/training program in Davenport, Iowa, licensed in Iowa (158455) and active in the NPI registry since August 2026. She maintains a secondary practice location in Davenport.

NPPES Registry Identity

NPI1851216980
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA JO ROMANCredential: NP STUDENT
Location Address5350 EASTERN AVEDavenport, IA 52807-2738
Mailing Address1418 40th StRock Island, IL 61201-3833 · (309) 269-2302
Sole ProprietorNo
Enumeration DateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
NPI 1851216980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IA · 158455
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5350 EASTERN AVE, Davenport, IA 52807

Secondary Practice Location 1

Location 11227 E Rusholme StDavenport, IA 52803-2459 · Phone (563) 421-1000

Other Providers at the Same Location NPPES 14

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

Obstetrics & Gynecology
5350 EASTERN AVE
DAVENPORT, IA 52807
Obstetrics & Gynecology
5350 EASTERN AVE
DAVENPORT, IA 52807
Nurse Practitioner (Family)
5350 EASTERN AVE
DAVENPORT, IA 52807
Nurse Practitioner
5350 EASTERN AVE
DAVENPORT, IA 52807
Advanced Practice Midwife
5350 EASTERN AVE
DAVENPORT, IA 52807
Obstetrics & Gynecology
5350 EASTERN AVE
DAVENPORT, IA 52807
Obstetrics & Gynecology
5350 EASTERN AVE
DAVENPORT, IA 52807
Midwife
5350 EASTERN AVE
DAVENPORT, IA 52807

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 Roman's NPI number?

The NPI number for Marissa Roman is 1851216980. It was assigned to this individual provider in the NPPES registry on August 10, 2026.

Where is Marissa Roman located?

Marissa Roman practices at 5350 Eastern Ave, Davenport, IA 52807. The listed phone number is (563) 355-1853.

What is Marissa Roman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marissa Roman was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.