Eric Ray Marshall, RN

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

041445206 Issued in IL

Practice address

150 N 27TH St
Belleville, IL 62226-6621

Phone

(618) 235-2713

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1447901517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N 27TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266621",
            "telephone_number": "618-235-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N 27TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266621",
            "telephone_number": "618-235-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ERIC",
        "middle_name": "RAY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "IL",
            "license": "041445206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S. Feldman, M.D. P.C. (Mark S. Feldman, M.D.)
• John Robert Markarian, D.M.D.
• Kenyetta Montrece Marshall-Williams, LCSW
• Alexis Joelle Marshall
• Anna Marshall, BCCHHP
• Lauren Nicole Marshall, FNP
• Sheila Marshall, LPC
• Marshmallows Hope Nonprofit Organization Corp.
• Jamie Renee Martens, LCPC
• Evelyn Teresa Martin, RN

• Rehabilitation Registered Nurse in Belleville, IL
• Providers in Belleville, IL by specialty
• Rehabilitation Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.