Active NPI
Khaliyah Marshall
- Nurse's Aide
- Fargo, ND
National Provider Identifier
1225751126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 158837
- Practice address
- 536 45TH St S Apt 202
Fargo, ND 58103-0903 - Phone
- (701) 540-1191
- NPI assigned
- Sep 26, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Nurse's Aide | 376K00000X | 158837 | ND | Primary |
Addresses
Primary practice location
536 45TH St S Apt 202
Fargo, ND 58103-0903
Mailing address
1327 4TH St NW
West Fargo, ND 58078-3937
Phone (218) 979-5308
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | khaliyah.healingcccare@gmail.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158837 | ND | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Center Community Care LLC | Behavior Technician | Current | Accepting new patients |
| The Healing Center Counseling & Consulting Services PLLC | Multi-Specialty | Current | Accepting new patients |
| The Healing Center Counseling & Consulting Services PLLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- In Home Supportive Care Agency
- Fargo, ND
- NPI 1124963947
Behavior Technician
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fargo, ND
- NPI 1982387866
Multi-Specialty
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fargo, ND
- NPI 1346987302
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1225751126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 4TH ST NW",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783937",
"telephone_number": "218-979-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 45TH ST S APT 202",
"city": "FARGO",
"state": "ND",
"postal_code": "581030903",
"telephone_number": "701-540-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "KHALIYAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "ND",
"license": "158837",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khaliyah.healingcccare@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "536 45th St S Apt 202",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581030903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.