Individual provider Active NPI

Christina Rene Marshall, LVN

  • Licensed Vocational Nurse
  • San Bernardino, CA
National Provider Identifier
1386338929
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
281142 Issued in CA
Practice address
1535 W Highland Ave RM 11
San Bernardino, CA 92411-1235
Phone
(909) 880-6839
Fax
(909) 880-6846
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 281142 CA Primary

Addresses

Primary practice location

1535 W Highland Ave RM 11
San Bernardino, CA 92411-1235

Mailing address

1287 Tourmaline Ave
Mentone, CA 92359-1254
Phone (909) 844-2405

Other practice location 1

1287 Tourmaline Ave
Mentone, CA 92359-1254
Phone (909) 844-2405

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

LicenseStateTypeSpecialty
281142CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1386338929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 TOURMALINE AVE",
            "city": "MENTONE",
            "state": "CA",
            "postal_code": "923591254",
            "telephone_number": "909-844-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W HIGHLAND AVE RM 11",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111235",
            "telephone_number": "909-880-6839",
            "fax_number": "909-880-6846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1287 Tourmaline Ave",
            "address_purpose": "LOCATION",
            "city": "Mentone",
            "state": "CA",
            "postal_code": "923591254",
            "country_code": "US",
            "telephone_number": "909-844-2405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CHRISTINA",
        "middle_name": "RENE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "281142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.