Individual provider Active NPI

K Simone Marshall, CNM, WHNP

  • Advanced Practice Midwife
  • Peachtree Corners, GA
National Provider Identifier
1801802749
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN-CNM161912 Issued in GA
Practice address
5600 Spalding Dr # 922342
Peachtree Corners, GA 30092-2503
Phone
(347) 770-4588
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN-NP161912 GA
Advanced Practice Midwife 367A00000X APRN-CNM161912 GA Primary
Advanced Practice Midwife 367A00000X F-0001355-1 NY
Women's Health Nurse Practitioner 363LW0102X F420975-01 NY

Addresses

Primary practice location

5600 Spalding Dr # 922342
Peachtree Corners, GA 30092-2503

Mailing address

PO Box 922342
Peachtree Corners, GA 30010-2342
Phone (347) 770-4588

Other practice location 1

584 E 37th St Fl 1
Brooklyn, NY 11203-5602
Phone (347) 770-4588

Other practice location 2

165 Broadway Fl 23
New York, NY 10006-1452
Phone (888) 731-8994

Other practice location 3

900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
8740761928MedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.soullovemidwifery.com
CONNECT URL www.soullovemidwifery.com

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001355NYMDMarriage & Family Therapist
APRN-NP161912GAMDWomen's Health Nurse Practitioner
F420975-01NYMDWomen's Health Nurse Practitioner
APRN-CNM161912GAMDAdvanced Practice Midwife
F-0001355-1NYMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1801802749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922342",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300102342",
            "telephone_number": "347-770-4588",
            "fax_number": "347-507-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPALDING DR # 922342",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922503",
            "telephone_number": "347-770-4588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 E 37th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112035602",
            "country_code": "US",
            "telephone_number": "347-770-4588",
            "fax_number": "347-507-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Broadway Fl 23",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100061452",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Old Roswell Lakes Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300768667",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "K SIMONE",
        "credential": "CNM, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "APRN-NP161912",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "APRN-CNM161912",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F-0001355-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420975-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8740761928",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.soullovemidwifery.com",
            "affiliation": "N",
            "address_1": "5600 Spalding Dr # 922342",
            "city": "Peachtree Corners",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300922503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.soullovemidwifery.com",
            "affiliation": "N",
            "address_1": "584 E 37th St Fl 1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112035602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.