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

Mrs. Marissa Alauna Humphrey

Individual provider Pediatric Nurse Practitioner · NPI 1538053095

Mrs. Marissa Alauna Humphrey is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2025

Practice location Address checks out

7 Richland Medical Park Dr Ste 215
Columbia, SC 29203-6863
Phone: (803) 434-3533
Fax: (803) 434-3094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 31266 (SC)

Record details

NPI number1538053095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia