Kimberly A Marshall, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP07741 Issued in OH

Practice address

6535 Market Ave N Ste 110
Canton, OH 44721-2487

Phone

(330) 324-0979

NPI assigned

Jul 24, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Akron General Medical Center Hospital, Akron, OH, CCN 360027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.marshall@3678.securemail.prognocis.com

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.

• Marshall Health and Wellness

  • Nurse Practitioner
  • Canton, OH
  • NPI 1124637467
  Medicare reassignment NPD Authorized official
• Hospitalist Medicine Physicians of Richland County, LTD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1639119027

  Nurse Practitioner

  Medicare reassignment NPD
• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876
  Medicare reassignment NPD
• Psycho Social Therapies,LTD

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1750335261
  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  OH

  Medicare reassignment
• Forefront-Rosenzweig Medical Services Professional Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1588101745

  OH

  Medicare reassignment
• BPH, LLC.

  • Professional Counselor
  • Canton, OH
  • NPI 1457158982
  NPD
• Psycho Social Therapies,LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1902462906
  NPD
• Cardiology One, Inc

  • Cardiovascular Disease Physician
  • Canton, OH
  • NPI 1114026226
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1710909197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 MARKET AVE N STE 110",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212487",
            "telephone_number": "330-324-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 MARKET AVE N STE 110",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212487",
            "telephone_number": "330-324-0979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2638 Easton ST NE. (Oakwood Square)",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "44721",
            "country_code": "US",
            "telephone_number": "330-493-8580",
            "fax_number": "330-493-8540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP07741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP07741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall Health and Wellness
• Aastha Chopra Marshall
• Brittany Fox Marshall, OTR/L
• Dawn M Marshall, LPN
• Jacquelyn Marshall, CRNA
• Kyle Dean Marshall
• Lisa Diane Marshall, PT
• Shayna Marshall, BA
• Alfred J Martello, MD
• Anna Martin

• Psychiatric/Mental Health Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.