Vanessa Lara Marshall

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2263278 Issued in MA

Practice address

501 Royalston Rd
Phillipston, MA 01331-9415

Phone

(774) 245-3701

Fax

(978) 428-0080

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Frank P. Fechner

  • Medical Specialty Clinic/Center
  • Worcester, MA
  • NPI 1811120066
  NPD (past)
• Frank P. Fechner, MD LLC

  • Medical Specialty Clinic/Center
  • Worcester, MA
  • NPI 1093047367
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1659744191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROYALSTON RD",
            "city": "PHILLIPSTON",
            "state": "MA",
            "postal_code": "013319415",
            "telephone_number": "774-245-3701",
            "fax_number": "978-428-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROYALSTON RD",
            "city": "PHILLIPSTON",
            "state": "MA",
            "postal_code": "013319415",
            "telephone_number": "774-245-3701",
            "fax_number": "978-428-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "VANESSA",
        "middle_name": "LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2263278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Baladi, MD
• Monalisa Dupiton, LPN
• Fadi Baladi MD PC
• Alison Hietala, NP
• Kimberly M Disalle, RN
• My Stomping Ground LLC
• New Beginnings Center for Youth and Families
• Elizabeth Nottleson, M.D.
• Daniella Nowicki, CD(DONA)
• Robyn M Parmenter, OTR/L

• Nurse Practitioner in Phillipston, MA
• Providers in Phillipston, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.