Active NPI
Angela Brooke Marsh, APRN
- Primary Care Nurse Practitioner
- Scottsville, KY
National Provider Identifier
1508527292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 3017186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | 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 | |
| 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.
-
- Rural Health Clinic/Center
- Columbia, KY
- NPI 1235595653
-
- General Practice Physician
- Columbia, KY
- NPI 1164881132
-
- Rural Health Clinic/Center
- Tompkinsville, KY
- NPI 1336602838
-
- Rural Health Clinic/Center
- Russell Springs, KY
- NPI 1821454349
-
- Rural Health Clinic/Center
- Edmonton, KY
- NPI 1831555358
-
- Rural Health Clinic/Center
- Columbia, KY
- NPI 1942666466
-
- Rural Health Clinic/Center
- Scottsville, KY
- NPI 1952953432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.