Individual provider Active NPI

Shereen-Gale Marsh, RN

  • Registered Nurse
  • Fort Lauderdale, FL
National Provider Identifier
1700281649
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
692457 Issued in NY
Practice address
3601 W Commercial Blvd Ste 16
Fort Lauderdale, FL 33309-3320
Phone
(954) 716-6790
Fax
(954) 716-6790
NPI assigned
Nov 4, 2014
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 692457 NY Primary

Addresses

Primary practice location

3601 W Commercial Blvd Ste 16
Fort Lauderdale, FL 33309-3320

Mailing address

7378 W Atlantic Blvd # 228
Margate, FL 33063-4214
Phone (954) 716-6790

Other practice location 1

20514 Linden Blvd
Saint Albans, NY 11412-2900
Phone (718) 528-5493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
692457NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chief Care LLC CurrentSince Feb 27, 2022 Accepting new patients

Locations

3601 W Commercial Blvd
Ste 16
Fort Lauderdale, FL 33309
Phone (954) 716-6790

7378 W Atlantic Blvd
Margate, FL 33063
Phone (954) 800-5737

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1700281649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 W ATLANTIC BLVD # 228",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634214",
            "telephone_number": "954-716-6790",
            "fax_number": "954-716-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 16",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093320",
            "telephone_number": "954-716-6790",
            "fax_number": "954-716-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20514 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114122900",
            "country_code": "US",
            "telephone_number": "718-528-5493",
            "fax_number": "718-525-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "SHEREEN-GALE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "692457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.