Individual provider Active NPI

Jshauntae Marshall

  • Doula
  • Las Vegas, NV
National Provider Identifier
1417728130
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
1230 W Owens Ave Ste 1
Las Vegas, NV 89106-2451
Phone
(725) 204-0850
NPI assigned
Jan 11, 2024
Last updated
Jun 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X NU
Community Health Worker 172V00000X NU
Lactation Consultant (Non-RN) 174N00000X NU
Doula 374J00000X CA Primary

Addresses

Primary practice location

1230 W Owens Ave Ste 1
Las Vegas, NV 89106-2451

Mailing address

8046 Pavarotti Ave
Las Vegas, NV 89178-8264
Phone (702) 337-4793

Other practice location 1

945 W Carson St
Torrance, CA 90502-2025
Phone (323) 736-0547

Other practice location 2

1001 Bannock St
Denver, CO 80204-4150
Phone (719) 738-8078

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Wellness Collective LLC Community Health Worker Current Accepting new patients

Locations

1230 W Owens Ave
Ste 1
Las Vegas, NV 89106
Phone (203) 578-6478

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1417728130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 PAVAROTTI AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788264",
            "telephone_number": "702-337-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W OWENS AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062451",
            "telephone_number": "725-204-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022025",
            "country_code": "US",
            "telephone_number": "323-736-0547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044150",
            "country_code": "US",
            "telephone_number": "719-738-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JSHAUNTAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.