Individual provider Active NPI

Kimberly Marshman, M.S., LAC

  • Acupuncturist
  • Novato, CA
National Provider Identifier
1053848200
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17531 Issued in CA
Practice address
1531 S Novato Blvd Ste E
Novato, CA 94947-4184
Phone
(415) 572-7478
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17531 CA Primary

Addresses

Primary practice location

1531 S Novato Blvd Ste E
Novato, CA 94947-4184

Mailing address

1254 Greenway Dr
El Sobrante, CA 94803-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1053848200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 GREENWAY DR",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948031210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S NOVATO BLVD STE E",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474184",
            "telephone_number": "415-572-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHMAN",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "M.S., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.