Active NPI
Kristen Marshall, DVM
- Veterinarian
- Fairfax, VA
National Provider Identifier
1073959623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 0301203150
- Practice address
- 8500 Arlington Blvd
Fairfax, VA 22031-4604 - Phone
- (703) 752-9100
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 0301203150 | VA | Primary |
| Veterinarian | 174M00000X | BV013424 | PA |
Addresses
Primary practice location
8500 Arlington Blvd
Fairfax, VA 22031-4604
Mailing address
2470 SW 37TH St
Ocala, FL 34471-1376
Phone (803) 397-4821
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BV013424 | PA | MD | Veterinarian |
| 0301203150 | VA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1073959623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 SW 37TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344711376",
"telephone_number": "803-397-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 ARLINGTON BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314604",
"telephone_number": "703-752-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "KRISTEN",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "VA",
"license": "0301203150",
"primary": true
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "PA",
"license": "BV013424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.