Carol Ann Marshall, APRN BC PSYCH NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN123686 Issued in TN

Practice address

219 North Ave
Ste 201, Healthcare Services Inc
La Follette, TN 37766-2732

Phone

(423) 566-1314

Fax

(423) 566-2466

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Healthcare Services Inc

  • Multi-Specialty Clinic/Center
  • La Follette, TN
  • NPI 1881671212
  NPD (past)
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1073590147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NORTH AVE",
            "address_2": "STE 201, HEALTHCARE SERVICES INC",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662732",
            "telephone_number": "423-566-1314",
            "fax_number": "423-566-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NORTH AVE",
            "address_2": "STE 201, HEALTHCARE SERVICES INC",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662732",
            "telephone_number": "423-566-1314",
            "fax_number": "423-566-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN BC PSYCH NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "RN123686",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4048763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3907212",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LWC Sevice Providers LLP
• Joseph Madron
• Elie Mansour, M.D.
• Elizabeth Marlow, APRN
• Heidi M Marlow, AGNP-CB
• Ivy Lee Massengale, PA-C
• Maxim Healthcare Services, Inc
• Jack Thomas McAfee, F.N.P.
• Cammie McCallister, CNA
• Michelle L McCreary, LPTA

• Psychiatric/Mental Health Nurse Practitioner in La Follette, TN
• Providers in La Follette, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.