Redonda Marshall, MSN, APRN, BC,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102896 Issued in MO

Practice address

1605 E Broadway
Ste 110
Columbia, MO 65201-8023

Phone

(573) 815-8130

Fax

(573) 815-8149

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/gemms-mis01
• Direct secure messaging: redondamarshall@mhccaremail.com

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.

• Columbia Primary Care Associates Inc

  • Specialist
  • Columbia, MO
  • NPI 1053416479
  NPD (past)
• Missouri Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Columbia, MO
  • NPI 1407841703
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1275599615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "573-815-8130",
            "fax_number": "573-815-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY",
            "address_2": "STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-815-8130",
            "fax_number": "573-815-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "REDONDA",
        "credential": "MSN, APRN, BC,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "102896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423962026",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Marsden, D.C.
• Gareth Thomas Marsh, DO
• Troy L. Marsh, PLPC
• John B Marshall, MD
• Julie Marshall, M.D.
• Marso Ventures LLC
• Alyssa Danielle Marso, FNP, AGNP, BMHNP
• Nikyla Marteen
• Matthew Paul Martens, PH.D.
• Rozalyn Martensen, RBT

• Family Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.