Individual provider Active NPI

Angela Brooke Marsh, APRN

  • Primary Care Nurse Practitioner
  • Scottsville, KY
National Provider Identifier
1508527292
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3017186 Issued in KY
Practice address
1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602
Phone
(270) 237-3123
Fax
(270) 237-3139
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3017186 KY Primary

Addresses

Primary practice location

1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602

Mailing address

PO Box 645996
Cincinnati, OH 45264-6355
Phone (270) 651-4444

Other practice location 1

456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 618-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221115000598 KY Practitioner - Nurse Practitioner 0547638074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc CurrentSince Apr 15, 2024 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients

Locations

902 Wellness Way
Columbia, KY 42728
Phone (270) 384-0451

1084 Veterans Memorial Hwy
Scottsville, KY 42164
Phone (270) 237-3123

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1508527292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645996",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452646355",
            "telephone_number": "270-651-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 VETERANS MEMORIAL HWY",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421649602",
            "telephone_number": "270-237-3123",
            "fax_number": "270-237-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Burnley Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsville",
            "state": "KY",
            "postal_code": "421646355",
            "country_code": "US",
            "telephone_number": "270-618-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ANGELA",
        "middle_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3017186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

Verify at the official NPI Registry.