Terrisa R Mustard-Marshall, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00024827 Issued in WA

Practice address

4323 Rucker Ave
A
Everett, WA 98203-2213

Phone

(425) 314-4842

Fax

(425) 339-2221

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1760652515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 19TH AVE SE",
            "address_2": "E-102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084249",
            "telephone_number": "425-314-4842",
            "fax_number": "425-339-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 RUCKER AVE",
            "address_2": "A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032213",
            "telephone_number": "425-314-4842",
            "fax_number": "425-339-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTARD-MARSHALL",
        "first_name": "TERRISA",
        "middle_name": "R",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00024827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Murray Jr., MSW, LICSW, SUDP
• Linda Murrell, RN
• Aldrian Nana Musa Uwah
• Semal Mahmoud Musleh, MD
• Katie Jolea Musso, LMHCA, SUDPT
• Catherine Muthembwa Mutevu
• Phylis Muthee, NP
• Brooke M Muzzy, RNFA
• Triza Njoki Mwangi, ADN,RN
• Tolani B Mwatha, MD

• Specialist in Everett, WA
• Providers in Everett, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.