Marsheal Allen

Key facts

NPI

1124764485

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

1217 Marsolan CT
Henderson, NV 89014-3992

Phone

(909) 996-0412

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 10, 2022.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1124764485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MARSOLAN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143992",
            "telephone_number": "909-996-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARSHEAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

• Alice Allen
• Brigitta Allen, BCBA
• Collette Allen
• De'Borah Buttler Allen
• Evan C Allen, MD
• Naporshae D Allen
• Robert William Allen, CPC-INTERN
• Tieman Robert Allen, RBT
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All providers in Henderson, NV · Personal Care Attendant in Nevada