Active NPI
Shellyann Marshall
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1083031686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 110 E Silverado Ranch Blvd
202-4
Las Vegas, NV 89183-3421 - Phone
- (562) 508-6564
- NPI assigned
- Mar 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
110 E Silverado Ranch Blvd
202-4
Las Vegas, NV 89183-3421
Mailing address
110 East Silverado Ranch Blvd
202-4
Las Vegas, NV 89183
Phone (562) 508-6564
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1083031686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 EAST SILVERADO RANCH BLVD",
"address_2": "202-4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89183",
"telephone_number": "562-508-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E SILVERADO RANCH BLVD",
"address_2": "202-4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891833421",
"telephone_number": "562-508-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SHELLYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.