Pamela Sue Marston, LPN CADC DUI QHEC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Practice address

219 E Euclid Ave
Monmouth, IL 61462-1247

Phone

(309) 734-9461

Fax

(309) 734-3909

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Normal, IL
  • NPI 1588948046
  NPD (past)
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1851315535

  Addiction (Substance Use Disorder)

  NPD (past)
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1154545879
  NPD (past)
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewanee, IL
  • NPI 1578788188

  Addiction (Substance Use Disorder)

  NPD (past)
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macomb, IL
  • NPI 1760505044
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710101167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "614690171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E EUCLID AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621247",
            "telephone_number": "309-734-9461",
            "fax_number": "309-734-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "LPN CADC DUI QHEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0137",
            "identifier": "QHEIC",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC",
            "identifier": "23985",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kianna Nicole Lyall, CF-SLP
• Maggie L Macdonald
• Madhav T Ratnakar, MD P C
• Maple City Chiropractic LTD
• Catherine Jane Mark, DPT, PT
• Kyrsten McCright, LCSW
• Joshua McCune
• Ruben A Medrano, MD
• Monmouth Rehab and Nursing LLC
• Monmouth Roseville Cusd 238

• All providers in Monmouth, IL
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.