Elizabeth Marshall, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

7214 Issued in CT

Practice address

1 Wildwood Medical Ctr
Essex, CT 06426-1155

Phone

(860) 767-0168

NPI assigned

Dec 20, 2007

Last updated

Nov 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wildwood Pediatrics and Adolescent Medicine LLC

  • Pediatrics Physician
  • Essex, CT
  • NPI 1750405023
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1346424710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILDWOOD MEDICAL CTR",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261155",
            "telephone_number": "860-767-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILDWOOD MEDICAL CTR",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261155",
            "telephone_number": "860-767-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Box 1252 - Mount Sinai Hospital",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-3401",
            "fax_number": "212-410-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "7214",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075893-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyssa Malings
• Sharon D Mallon, PHD
• Louise M Maloney, MD
• Vincenzo Marafito, BA
• Michele Marsh, LPC
• Amy Martin, RPH
• Dana Lyn Martin, MA
• Thomas McDowell, MD
• Mary Laura McGannon, PH.D
• Zoe McGlamery

• Pediatric Nurse Practitioner in Essex, CT
• Providers in Essex, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.