Carrie Virginia Marshall, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

237573 Issued in MA

Practice address

53 Route 130
Forestdale, MA 02644-1402

Phone

(508) 477-5306

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3552/brand/1/csg/1/fhir/r4

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.

• Cape Cod Pediatrics LLP

  • Specialist
  • Forestdale, MA
  • NPI 1053423087
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1073708145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BEACON ST",
            "address_2": "APT. 7A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082804",
            "telephone_number": "857-991-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ROUTE 130",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441402",
            "telephone_number": "508-477-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CARRIE",
        "middle_name": "VIRGINIA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "237573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy L Lin, OTR
• Judith H Lowitz
• Colleen Macwilliam, MS SLP
• Ciera Joyce Maffei, CPNP
• Lauren P Marble, M.S., CCC-SLP
• Alyssa Mignone
• Tracie Moulton, NP
• Brian Douglas Murphy, BT
• Amy Murray
• Gabrielle Osborne

• All providers in Forestdale, MA
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.