Active NPI
Joanne Ruth Marsh, CNP
- Family Nurse Practitioner
- Burnsville, MN
National Provider Identifier
1285636712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6396
- Practice address
- 303 E Nicollet Blvd
Burnsville, MN 55337-4522 - Phone
- (952) 460-4000
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R54246 | NM | |
| Family Nurse Practitioner | 363LF0000X | 6396 | MN | Primary |
Addresses
Primary practice location
303 E Nicollet Blvd
Burnsville, MN 55337-4522
Mailing address
400 Stinson Blvd
Minneapolis, MN 55413-2614
Other practice location 1
530 DeMoss Street
Lordsburg, NM 88045
Phone (505) 542-8384 ext. 114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6396 | MN | MD | Family Nurse Practitioner |
| R54246 | NM | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1285636712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STINSON BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374522",
"telephone_number": "952-460-4000"
}
],
"practiceLocations": [
{
"address_1": "530 DeMoss Street",
"address_purpose": "LOCATION",
"city": "Lordsburg",
"state": "NM",
"postal_code": "88045",
"country_code": "US",
"telephone_number": "505-542-8384 x114",
"fax_number": "505-542-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSH",
"first_name": "JOANNE",
"middle_name": "RUTH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NM",
"license": "R54246",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "6396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.