Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa Newsome

Individual provider Surgical Assistant · NPI 1861363152

Marissa Newsome is an Undefined Non-Physician Type (Specify) in Lexington, Kentucky. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

3475 Blazer Pkwy Ste 131
Lexington, KY 40509-1850
Phone: (859) 514-0260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X (KY)

Record details

NPI number1861363152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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