Active NPI
Carrie Suzanne Marshall, M.D.
- Family Medicine Physician
- Mililani, HI
National Provider Identifier
1174758536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MDR-5695
- Practice address
- 95-390 Kuahelani Ave
Mililani, HI 96789-1192 - Phone
- (808) 627-3230
- NPI assigned
- May 28, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MDR-5695 | HI | Primary |
Addresses
Primary practice location
95-390 Kuahelani Ave
Mililani, HI 96789-1192
Mailing address
3770 Sierra Dr Apt a
Honolulu, HI 96816-3866
Phone (808) 779-5860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDR-5695 | Other | HI | RESIDENT |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-5695 | HI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1174758536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3770 SIERRA DR APT A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163866",
"telephone_number": "808-779-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-390 KUAHELANI AVE",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891192",
"telephone_number": "808-627-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "CARRIE",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MDR-5695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT",
"identifier": "MDR-5695",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.