Nicole Marshall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14286 Issued in FL

Practice address

3980 Southside Blvd Ste 108
Jacksonville, FL 32216-6612

Phone

(904) 436-1106

NPI assigned

Sep 19, 2023

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marshall Establishment PLLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1790563997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1275311474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SOUTHSIDE BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166612",
            "telephone_number": "904-436-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SOUTHSIDE BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166612",
            "telephone_number": "904-436-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R Marshall, PT
• Joanna Leigh Marshall, PT
• Kristin L Marshall, DNP
• Margaret Jean Marshall, MS CCC-SLP
• Marva B. Marshall, CBHT
• Rhonda Le'Nae Marshall, APRN
• Shawnata Marshall
• Stephanie Marshall, PHLEBOTMIST
• Tetyana Marshall
• Marshall'S Home Health Aide

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.