Active NPI
Virginia Marshall, A.P.R.N.
- Adult Health Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1366466567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9490040
- Practice address
- 8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905 - Phone
- (239) 343-9560
- Fax
- (239) 343-9624
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9490040 | FL | Primary |
Addresses
Primary practice location
8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1449
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2125 | Medicaid | SC | |
| 100507655 | Medicaid | NV | |
| 1366466567 | Medicaid | NC | |
| 100278600 | Medicaid | FL | |
| 7003706 | Medicaid | NC | |
| 807322900 | Medicaid | ID |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9490040 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1366466567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8925 COLONIAL CENTER DR STE 1000",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-343-9560",
"fax_number": "239-343-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "VIRGINIA",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9490040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2125",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100507655",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366466567",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100278600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003706",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807322900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.