Active NPI
Rachael Marshall, NP
- Family Nurse Practitioner
- Dickinson, ND
National Provider Identifier
1578217394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R34404
- Practice address
- 683 State Ave Ste E
Dickinson, ND 58601-4660 - Phone
- (701) 483-9353
- Fax
- (701) 483-5961
- NPI assigned
- Feb 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R34404 | ND | Primary |
Addresses
Primary practice location
683 State Ave Ste E
Dickinson, ND 58601-4660
Mailing address
683 State Ave Ste E
Dickinson, ND 58601-4660
Phone (701) 483-9353
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R34404 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Medical Clinic | Family | Past | Accepting new patients |
Organizations & group practices 1
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": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1578217394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683 STATE AVE STE E",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014660",
"telephone_number": "701-483-9353",
"fax_number": "701-483-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "683 STATE AVE STE E",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014660",
"telephone_number": "701-483-9353",
"fax_number": "701-483-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "RACHAEL",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-10",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R34404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.