Individual provider Active NPI

Kimberly Marshall

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1467086371
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
026391 Issued in OH
Practice address
3593 S Arlington Rd
Akron, OH 44312-5271
Phone
(330) 899-9020
NPI assigned
Feb 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 026391 OH Primary

Addresses

Primary practice location

3593 S Arlington Rd
Akron, OH 44312-5271

Mailing address

3593 S Arlington Rd
Akron, OH 44312-5271

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.marshall@aultman.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422003278 OH Practitioner - Nurse Practitioner 1658701263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

3593 S Arlington Rd
Suite a
Akron, OH 44312-5271
Phone (330) 899-9070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
026391OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Apr 27, 2020 Accepting new patients
Pioneer Physicians Network, Inc. CurrentSince Apr 27, 2020 Accepting new patients

Locations

3593 S Arlington Rd
Ste A
Green, OH 44312
Phone (330) 899-9070

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: kimberly.marshall@ppn.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582934400000",
    "number": "1467086371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "026391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.marshall@aultman.com",
            "affiliation": "N",
            "address_1": "3593 S Arlington Rd",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443125271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.