Active NPI
CJS Medical
- Gerontology Nurse Practitioner
- Vinton, VA
National Provider Identifier
1235939588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- CJS MEDICAL
- Practice address
- 705 Clearview Dr
Vinton, VA 24179-3605 - Phone
- (540) 525-5099
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hillary Nicole Marshall
- Title
- Credentialing Specialist
- Phone
- (540) 480-6026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | Primary |
Addresses
Primary practice location
705 Clearview Dr
Vinton, VA 24179-3605
Mailing address
306 Wesley Rd
Daleville, VA 24083-3068
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Daleville, VA
- NPI 1598135733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1235939588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 WESLEY RD",
"city": "DALEVILLE",
"state": "VA",
"postal_code": "240833068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 CLEARVIEW DR",
"city": "VINTON",
"state": "VA",
"postal_code": "241793605",
"telephone_number": "540-525-5099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CJS MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "HILLARY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "540-480-6026"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vinton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.