Active NPI
Nicole Marie Marshall, DC, MSACN
- Chiropractor
- Warwick, NY
National Provider Identifier
1750733036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012854
- Practice address
- 42 Hickory Hill Dr
Warwick, NY 10990-2826 - Phone
- (845) 772-2033
- NPI assigned
- Jul 11, 2016
- Last updated
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012854 | NY | Primary |
Addresses
Primary practice location
42 Hickory Hill Dr
Warwick, NY 10990-2826
Mailing address
42 Hickory Hill Dr
Warwick, NY 10990-2826
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012854 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1750733036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 HICKORY HILL DR",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 HICKORY HILL DR",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902826",
"telephone_number": "845-772-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DC, MSACN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.