Individual provider Active NPI

Shoshana Marchand, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Easthampton, MA
National Provider Identifier
1336493949
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN283702 Issued in MA
Practice address
179 Northampton St
Easthampton, MA 01027-1057
Phone
(413) 439-2260
Fax
(413) 439-2109
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN283702 MA Primary

Addresses

Primary practice location

179 Northampton St
Easthampton, MA 01027-1057

Mailing address

332 Birnie Ave
Springfield, MA 01107-1104
Phone (413) 439-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000531 MA Practitioner - Nurse Practitioner 2264687995 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

155 Main St
Suite 2
Northampton, MA 01060-3126
Phone (413) 829-7792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1336493949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071104",
            "telephone_number": "413-439-2260",
            "fax_number": "413-439-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 NORTHAMPTON ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271057",
            "telephone_number": "413-439-2260",
            "fax_number": "413-439-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAND",
        "first_name": "SHOSHANA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN283702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.