Active NPI
Patrice Ann Marshall
- Case Manager/Care Coordinator
- Enterprise, OR
National Provider Identifier
1467194183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 606 Medical Parkway
Enterprise, OR 97828 - Phone
- (541) 805-5954
- NPI assigned
- Apr 12, 2022
- Last updated
- Apr 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Case Manager/Care Coordinator | 171M00000X | OR | Primary |
Addresses
Primary practice location
606 Medical Parkway
Enterprise, OR 97828
Mailing address
606 Medical Parkway
Enterprise, OR 97828
Phone (541) 805-5954
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1467194183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MEDICAL PARKWAY",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "97828",
"telephone_number": "541-805-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 MEDICAL PARKWAY",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "97828",
"telephone_number": "541-805-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "PATRICE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.