Active NPI 1750197455 Individual Practitioner Female Practitioner

Marissa Dykman

Specialist/Technologist - Speech-Language Assistant • Homer, AK

Professional Overview & Biography Verified Profile Summary

Marissa Dykman is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Homer, AK. Practice services are available at 601 E PIONEER AVE STE 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 E Pioneer Ave Ste 203

Homer, AK 996037694

Telephone 9074351071

Associated Practice Facility / Clinic

🏢 Changing Tides Therapy Services, Inc Facility NPI 1710817184

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Homer, AK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Homer, AK (56 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-06

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License AK 231416

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Megan Connell , RBT

Behavior Technician

NPI 1154010312

Registered Behavior Technician

Lauren Harris

Behavior Technician

NPI 1285566976

Jackie Kempf , MS, CCC-SLP

Speech-Language Pathologist

NPI 1457053175

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Leah Evans

Behavior Technician

NPI 1467384156

Bachir El Haj Omar

Specialist/Technologist - Speech-Language Assistant

NPI 1518895747

Andrea Young , RBT

Behavior Technician

NPI 1699500090

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 06, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2024

Registered at 601 E PIONEER AVE STE 203, HOMER, AK 996037694 (Tel: 9074351071)

📍

Updated Business Mailing Address December 06, 2024

Registered at 314 E CHESTNUT ST, CENTRALIA, WA 985313816 (Tel: 3603887172)

👤

Provider Name / Credentials Updated December 06, 2024

Recorded as MARISSA DYKMAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

Specialist/Technologist (License #231416 in AK)

🟢

Initial NPI Registration & Enumeration December 06, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750197455

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 06, 2024

Last Update: December 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

314 E Chestnut St

Centralia, WA 985313816

Phone: 3603887172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.