Kathleen M Marshall, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

332707 Issued in NY

Practice address

582 New Loudon Rd
Latham, NY 12110-4029

Phone

(518) 389-7133

Fax

(518) 782-7155

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• William J Feeney MD PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1679565659
  Medicare reassignment NPD
• Steven E Fox Inc

  • Community/Behavioral Health Agency
  • Valatie, NY
  • NPI 1982985925
  NPD
• Theta Pattison MD

  • Dermatology Physician
  • Altamont, NY
  • NPI 1942292925
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1619977949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11-719",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12211",
            "telephone_number": "518-782-7133",
            "fax_number": "518-782-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104029",
            "telephone_number": "518-389-7133",
            "fax_number": "518-782-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02041541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Rae Marino, MS, BCBA, LBA-NY
• Jean Mary Robert Marius
• Marjorie Russell NP in Psychiatry, PLLC
• Martin Joseph Marrazo, PH.D.
• Judy Ann Marshall
• Korey Marshall, NP
• Katelyn Martinez
• Martins Foods of South Burlington LLC
• Donnamarie Elizabeth Martocci, FNP - BC
• Marvin J, Fine

• Family Nurse Practitioner in Latham, NY
• Providers in Latham, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.

Verify at the official NPI Registry.