Lisa Bethany Marshall, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106430 Issued in FL

Practice address

15800 Pines Blvd Ste 325
Pembroke Pines, FL 33027-1212

Phone

(754) 273-0885

Fax

(866) 610-8782

NPI assigned

May 16, 2012

Last updated

Feb 21, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Miami Medical College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.marshall.1@23899.direct.athenahealth.com

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.

• Memorial Medical Group of South Florida

  dba Osenia Mental Health & Wellness

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1841801297
  Medicare reassignment Authorized official
• Memorial Medical Group of South Florida, LLC

  dba Memorial Mental Health Of South Florida

  • Physician Assistant
  • Hollywood, FL
  • NPI 1336806801
  NPD Authorized official
• Petit Psychiatry

  • Child & Adolescent Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1982313508
  Medicare reassignment
• Florida Pain and Rehabilitation Institute Inc

  dba National Pain Institute

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1356345060
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1225398852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PINES BLVD UNIT 822503",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330829265",
            "telephone_number": "754-273-0885",
            "fax_number": "866-610-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 325",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "754-273-0885",
            "fax_number": "866-610-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LISA",
        "middle_name": "BETHANY",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa V Marquez
• Judith B Marquit, PSYD
• Alberto Marrero Arias, PA
• Nataly Marrero, COTA/L
• Katherine V Marshall, PA-C
• Michelle G Marsicano
• Jennifer P. Marston
• Marta Cabrera MD PA
• Guiselda Martell
• Elizabeth Martin Boada, APRN

• Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.

Verify at the official NPI Registry.