Individual provider Active NPI

Timothy Mi Marshall

  • Taxi
  • Cape Charles, VA
National Provider Identifier
1790316628
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
27023 Issued in VA
Practice address
23092 Parsons Cir
Cape Charles, VA 23310-2301
Phone
(757) 695-0954
NPI assigned
Jan 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 27023 VA Primary

Addresses

Primary practice location

23092 Parsons Cir
Cape Charles, VA 23310-2301

Mailing address

23092 Parsons Cir
Cape Charles, VA 23310-2301
Phone (757) 695-0954

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address freshcatch1@verizon.net

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

LicenseStateTypeSpecialty
27023VAMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1790316628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23092 PARSONS CIR",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233102301",
            "telephone_number": "757-695-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23092 PARSONS CIR",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233102301",
            "telephone_number": "757-695-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TIMOTHY",
        "middle_name": "MI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "VA",
            "license": "27023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "freshcatch1@verizon.net",
            "affiliation": "N",
            "address_1": "23092 Parsons Cir",
            "city": "Cape Charles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233102301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Charles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.