Active NPI
Sherie Danielle Marshall, RN, MSN FNP-BC, MBA
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1306176862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209007982
- Practice address
- 1715 E 95TH St
Chicago, IL 60617-4708 - Phone
- (773) 768-4437
- NPI assigned
- Jan 6, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209007982 | IL | Primary |
Addresses
Primary practice location
1715 E 95TH St
Chicago, IL 60617-4708
Mailing address
PO Box 746721
Atlanta, GA 30374-6721
Phone (773) 352-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209007982 | Other | IL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group, PC | Family | Current | Accepting new patients |
Locations
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437
Interoperability endpoints
- smarshall17263@uihealth.direct-ci.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1306176862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746721",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746721",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 E 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174708",
"telephone_number": "773-768-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SHERIE",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "RN, MSN FNP-BC, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209007982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "209007982",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.