Juanisha De'Sha Marshall, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015229 Issued in KY

Practice address

3050 Helmsdale PL Apt 2107
Lexington, KY 40509-2442

Phone

(859) 433-6418

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• BHG Lviii, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Hazard, KY
  • NPI 1417696543
  Medicare reassignment NPD
• BHG Xxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paintsville, KY
  • NPI 1568808640
  Medicare reassignment NPD
• BHG XXV, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pikeville, KY
  • NPI 1710323894
  Medicare reassignment NPD
• BHG Xxvi, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hazard, KY
  • NPI 1417393414
  Medicare reassignment NPD
• BHG Xxxiii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paducah, KY
  • NPI 1982027199
  Medicare reassignment NPD
• BHG Xxxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corbin, KY
  • NPI 1578986345
  Medicare reassignment NPD
• BHG XXXV, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1386067254
  Medicare reassignment NPD
• BHG Lviii, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Richmond, KY
  • NPI 1174363733
  NPD
• BHG XXXV, LLC

  • Methadone Clinic
  • Berea, KY
  • NPI 1558895631
  NPD

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1184258451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HELMSDALE PL APT 2107",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092442",
            "telephone_number": "859-433-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HELMSDALE PL APT 2107",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092442",
            "telephone_number": "859-433-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JUANISHA",
        "middle_name": "DE'SHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "11442581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3015229",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory William Marshall, O.D.
• Isabella Marshall, RBT
• Jennifer Marshall, DC
• Jessica Marshall
• Joshua Marshall, APSS
• Kassi Michelle Marshall, MD
• Kenneth Marshall
• Kimberly Nicole Marshall
• Lauren Paige Marshall, RDN, LD
• Ramsey Marshall, RBT

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.