Shakerah M Marshall

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9307854 Issued in FL

Practice address

805 Daybreak Dr
Fruitland Park, FL 34731-6550

Phone

(718) 675-9181

NPI assigned

Feb 24, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Visiting Nurse Services of Central Florida LLC

  • Home Health Agency
  • Leesburg, FL
  • NPI 1982947263
  NPD Authorized official

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1306086871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 DAYBREAK DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347316550",
            "telephone_number": "718-675-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 DAYBREAK DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347316550",
            "telephone_number": "718-675-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SHAKERAH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "607166-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9307854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S. Leclear-Dozier, LCSW
• Cynthia Loben
• Lubis Enterprise LLC
• Tim Harold Lynch, R.PH.
• Tenia Manuel
• Matrix Medical LLC
• Christopher John Matthews, STUDENT
• Rodney L McCook
• Cindy McDevitt
• Otis L McDuffie

• Registered Nurse in Fruitland Park, FL
• Providers in Fruitland Park, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.