Kellyn Marshall Pmhnp-BC, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KELLYN MARSHALL PMHNP-BC, LLC

Practice address

208 Oak St Ste 208
Ashland, OR 97520-1828

Phone

(541) 656-2279

Fax

(541) 314-9627

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Ratusny

Title

Billing

Phone

(541) 656-2279

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellyn Marshall, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, OR
  • NPI 1003273863
  NPD

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1669223764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK ST STE 208",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201828",
            "telephone_number": "541-656-2279",
            "fax_number": "541-314-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK ST STE 208",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201828",
            "telephone_number": "541-656-2279",
            "fax_number": "541-314-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYN MARSHALL PMHNP-BC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "RATUSNY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "541-656-2279"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Scott Kauder, PSY.D.
• Lisa Keen
• Sage Keene
• Jean A Keevil, M.D.
• Erin Louise Keller, LMSW
• Darlene Kelty, L.P.C.
• Michael Robert Kempf, D.D.S.
• Alea Kent, MS
• Michelle Keys, MS.ED
• Keysboe Acupuncture LLC

• Psychiatric/Mental Health Nurse Practitioner in Ashland, OR
• Providers in Ashland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.