Kristian Jerne Marshall, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3016089 Issued in LA

Practice address

130 Bayou Oaks Dr Apt 617
Monroe, LA 71203-3347

Phone

(318) 789-8931

NPI assigned

Dec 22, 2020

Last updated

May 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melanie Massey Physical Therapy IncGroup PAC ID 5890784342, 24 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melanie Massey Physical Therapy Inc

  • Physical Therapist
  • Monroe, LA
  • NPI 1104922475

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Impactful Pediatric and Adult Therapy LLC

  • Speech-Language Pathologist
  • Monroe, LA
  • NPI 1811719800
  NPD Authorized official
• Melanie Massey Infant & Toddler LLC

  • Speech-Language Pathologist
  • West Monroe, LA
  • NPI 1447453865

  Multi-Specialty

  NPD (past)
• Morehouse Community Medical Centers, Inc

  dba Communihealth Services Behavioral Health Wellness Clinic

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1356898589

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1285221408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BAYOU OAKS DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033337",
            "telephone_number": "318-789-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BAYOU OAKS DR APT 617",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033347",
            "telephone_number": "318-789-8931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Summer Ln",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712913501",
            "country_code": "US",
            "telephone_number": "318-396-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KRISTIAN",
        "middle_name": "JERNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3016089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016089",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA SPEECH PATHOLOGY LICENSE",
            "identifier": "8760",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Marlowe, RPH
• Carmen Nmi Marsala, LAC
• Kimberlee Hudson Marsala, OTR/L
• Marshall L Leary Jr Apmc
• Jessalyn Marshall
• Montrell Marshall
• Niesha B Marshall
• Stephanie M. Marshall
• Amelia Martin
• Cora Martin

• Speech-Language Pathologist in Monroe, LA
• Providers in Monroe, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.