Jill M Marshall, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RO38218 Issued in SD

Practice address

24279 166TH St. Airport Road
Eagle Butte, SD 57625

Phone

(605) 964-0765

Fax

(605) 964-1399

NPI assigned

Jun 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1659998359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250590",
            "telephone_number": "605-200-0506",
            "fax_number": "605-964-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24279 166TH ST. AIRPORT ROAD",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "57625",
            "telephone_number": "605-964-0765",
            "fax_number": "605-964-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SD",
            "license": "RO38218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latilia Deanne Mack, PHARM.D.
• Carmen Kathryn Maher Kraft, RDH
• Ann Maher, LRD
• Katie Donnell Mandle, REGISTERED NURSE
• Lucy Manu, PHARMACIST
• Heather Leigh Martin, R.N.
• Mildred Martinez-Santos, RN
• Medicine Wheel Village
• Lita Marie Miller, RN
• Tony L Miller, RN

• Community Health Registered Nurse in Eagle Butte, SD
• Providers in Eagle Butte, SD by specialty
• Community Health Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.