Individual provider Active NPI

Khaliyah Marshall

  • Nurse's Aide
  • Fargo, ND
National Provider Identifier
1225751126
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
158837 Issued in ND
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

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X
Health Educator 174H00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
158837NDMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Center Community Care LLC Behavior Technician Current Accepting new patients
The Healing Center Counseling & Consulting Services PLLC Multi-Specialty CurrentSince Aug 13, 2023 Accepting new patients
The Healing Center Counseling & Consulting Services PLLC Multi-Specialty PastSince Oct 2, 2022 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.

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.

Verify at the official NPI Registry.