Audrey E. Marshall, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA#12952 Issued in WA

Practice address

2411 Pacific Ave SE FL 1
Olympia, WA 98501-2048

Phone

(360) 485-2237

Fax

(815) 301-3767

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1174681167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PACIFIC AVE SE FL 1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012048",
            "telephone_number": "360-485-2237",
            "fax_number": "815-301-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 PACIFIC AVE SE FL 1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012048",
            "telephone_number": "360-485-2237",
            "fax_number": "815-301-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AUDREY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA#12952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "8381MA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I NUMBER",
            "identifier": "132940",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "8382MA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Markowitz, OT
• Kara Markstrom
• Marlan ENT PLLC
• Robert S. Marlan, MD
• Amanda Nicole Marquez, MSW
• Lindsey Anne Marshall
• Matthew C Marshall, MPAS, PA-C
• Ramona Marshall, MA
• Jessica L Martens, L.AC.
• Alexa Martin del Campo

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.