Active NPI
Cathleen E Marshall, MD
- Neurodevelopmental Disabilities Physician
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurodevelopmental Disabilities Physician
- License
- 163531
- Practice address
- 3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242 - Phone
- (907) 416-6594
- Fax
- (800) 248-6184
- NPI assigned
- Mar 28, 2013
- Last updated
- Oct 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 163531 | AK | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 163531 | AK | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 163531 | AK | Primary |
Addresses
Primary practice location
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Mailing address
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Phone (907) 416-6594
Other practice location 1
1405 Kellum St Ste 100
Fairbanks, AK 99701-4189
Phone (907) 416-6594
Other practice location 2
4000 Old Seward Hwy Ste 301
Anchorage, AK 99503-6068
Phone (907) 416-6594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1711197 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3505 E Meridian Park Loop
Suite 100
Wasilla, AK 99654-7242
Phone (855) 431-8555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163531 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Neurology, LLC | Current | Accepting new patients | |
| Ptarmigan Connections, LLC | Pediatrics | Past | Accepting new patients |
| Providence Health & Services-Washington | Past | Accepting new patients |
Locations
4000 Old Seward Hwy
Ste 301
Anchorage, AK 99503
Phone (907) 416-6594
1405 Kellum St
Fairbanks, AK 99701
Phone (855) 431-8555
1405 Kellum St
Ste 100
Fairbanks, AK 99701
Phone (907) 416-6594
3505 E Meridian Park Loop
Ste 100
Wasilla, AK 99654
Phone (907) 357-4963
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Wasilla, AK
- NPI 1306684980
-
dba Providence Medical Group Alaska
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1841814795
-
- Pediatrics Physician
- Wasilla, AK
- NPI 1164942314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1083957070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 E MERIDIAN PARK LOOP STE 100",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547242",
"telephone_number": "907-416-6594",
"fax_number": "800-654-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 E MERIDIAN PARK LOOP STE 100",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547242",
"telephone_number": "907-416-6594",
"fax_number": "800-248-6184"
}
],
"practiceLocations": [
{
"address_1": "1405 Kellum St Ste 100",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997014189",
"country_code": "US",
"telephone_number": "907-416-6594",
"fax_number": "800-654-6250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Old Seward Hwy Ste 301",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995036068",
"country_code": "US",
"telephone_number": "907-416-6594",
"fax_number": "800-654-6250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "CATHLEEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "163531",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "AK",
"license": "163531",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "AK",
"license": "163531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1711197",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.