Individual provider Active NPI

Carol Marshall

  • Developmental Disabilities Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1235683376
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Practice address
1248 Edgewood Ave W Ste 3
Jacksonville, FL 32208-2874
Phone
(904) 438-0605
Fax
(904) 586-2223
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1248 Edgewood Ave W Ste 3
Jacksonville, FL 32208-2874

Mailing address

1248 Edgewood Ave W Ste 3
Jacksonville, FL 32208-2874
Phone (904) 438-0605

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nikki'S Helping Hand Support Services Developmental Disabilities Current Accepting new patients
Nikki'S Helping Hand Support Services Developmental Disabilities Current Accepting new patients

Locations

1248 Edgewood Ave W
Ste 3
Jacksonville, FL 32208
Phone (904) 438-5192

Organizations & group practices 2

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1235683376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 EDGEWOOD AVE W STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082874",
            "telephone_number": "904-438-0605",
            "fax_number": "904-586-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 EDGEWOOD AVE W STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082874",
            "telephone_number": "904-438-0605",
            "fax_number": "904-586-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.