Betty J Marshall, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5008173 Issued in NC

Practice address

518 S Van Buren Rd
Ste 2
Eden, NC 27288-5033

Phone

(336) 635-6806

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment NPD
• Unc Rockingham Health Care, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mayodan, NC
  • NPI 1538664099
  Medicare reassignment NPD
• Caromont Medical Group Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Gastonia, NC
  • NPI 1215398789
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Unc Rockingham Health Care, Inc.

  • Hospitalist Physician
  • Eden, NC
  • NPI 1275010043
  NPD
• Unc Rockingham Health Care, Inc.

  • Orthopaedic Surgery Physician
  • Eden, NC
  • NPI 1760987911
  NPD
• Prospect Health Access Network, Inc.

  • Gynecologic Oncology Physician
  • Chester, PA
  • NPI 1134574775
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1083053011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S VAN BUREN RD",
            "address_2": "STE 2",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885033",
            "telephone_number": "336-635-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S VAN BUREN RD",
            "address_2": "STE 2",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885033",
            "telephone_number": "336-635-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BETTY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00427500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012834",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Stages Assisted Living LLC
• Audrey Lynn Lovelace, LMBT 09629
• Erica Renee Mabry, PHARMD
• Larry Scott Maddy, OTR L CHT
• Majeski Home Health Agency
• Dustan Chris Martin, O.D.
• Maxim Habilitation Services, LLC
• Terra Scarlette McAlister, FNP
• Nikeita McDonald, LCMHC, LPC
• Paul Frederick McGuire, MD

• Adult Health Nurse Practitioner in Eden, NC
• Providers in Eden, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.