Individual provider Active NPI

Julie M Marshall, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1063725539
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-75189-101 Issued in KS
Practice address
555 N Woodlawn St
102
Wichita, KS 67208-3646
Phone
(316) 652-2590
Fax
(316) 652-2595
NPI assigned
Jul 26, 2010
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-75189-101 KS Primary

Addresses

Primary practice location

555 N Woodlawn St
102
Wichita, KS 67208-3646

Mailing address

555 N Woodlawn St
102
Wichita, KS 67208-3646
Phone (316) 652-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000133 KS Practitioner - Nurse Practitioner 4284816075 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75189-101KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Mental Health Center CurrentSince Jan 5, 2015 Accepting new patients
South Central Mental Health Counseling Center, Inc. CurrentSince Oct 3, 2014 Accepting new patients
Kansas Mental Health Medicine LLC CurrentSince Aug 1, 2022 Accepting new patients
Affiliated Family Counselors LLC CurrentSince Mar 1, 2016 Accepting new patients
KVC Hospitals Inc Past Accepting new patients
Oph LLC Psychiatric/Mental Health Past Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc PastSince Mar 15, 2018 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients
Oph, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

1601 W 16th St
Wellington, KS 67152
Phone (316) 326-7448

1855 N Webb Rd
Wichita, KS 67206
Phone (316) 634-0060

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1063725539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083646",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083646",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-75189-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.