Active NPI
Kezia Marshall
- School Registered Nurse
- Candor, NY
National Provider Identifier
1336500727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 689857-1
- Practice address
- 2 Academy Street
Candor, NY 13743 - Phone
- (607) 659-4965
- NPI assigned
- Mar 11, 2016
- Last updated
- Mar 11, 2016
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 689857-1 | NY | Primary |
Addresses
Primary practice location
2 Academy Street
Candor, NY 13743
Mailing address
2 Academy Street
Candor, NY 13743
Phone (607) 659-4965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 689857-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1336500727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ACADEMY STREET",
"city": "CANDOR",
"state": "NY",
"postal_code": "13743",
"telephone_number": "607-659-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ACADEMY STREET",
"city": "CANDOR",
"state": "NY",
"postal_code": "13743",
"telephone_number": "607-659-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "KEZIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "689857-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.