Julie R Marshall, R.N., A.P.N.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209.018852 Issued in IL

Practice address

6636 Ridge Road
Darien, IL 60561

Phone

(630) 863-3754

Fax

(630) 789-9093

NPI assigned

May 17, 2007

Reactivated

Aug 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Registered Nurse

State licenses

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1669689584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 RIDGE ROAD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-863-3754",
            "fax_number": "630-789-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 RIDGE ROAD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-863-3754",
            "fax_number": "630-789-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "R.N., A.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-08-07",
        "deactivation_date": "2019-07-27",
        "reactivation_date": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-190862",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "9387-33",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209-005927",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.018852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI",
            "identifier": "1316998578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdalhameed Madwar
• Jovanka Maksimovic
• Marian Home Health Care,Inc.
• Jeanette Marinier, PA-C
• Kenneth Markovic
• Kristin Marshall, LPC
• Martens Chiropractic and Acupuncture Center, S.C.
• Anna Maria Martusciello, D.C.
• Mohammed Amir Masood, PHARMD.
• Jaya Mathew

• Gerontology Nurse Practitioner in Darien, IL
• Providers in Darien, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.