Individual provider Active NPI

Latisha Lenee Marshall, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1821546094
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00664900 Issued in NJ
Practice address
448 Lakehurst Rd
Suite 2a
Toms River, NJ 08755-6380
Phone
(732) 240-1300
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00664900 NJ Primary

Addresses

Primary practice location

448 Lakehurst Rd
Suite 2a
Toms River, NJ 08755-6380

Mailing address

780 Schindler Dr
Brick, NJ 08723-4826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20161205000101 NJ Practitioner - Nurse Practitioner 0547540890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean Mental Health Services IncGroup PAC ID 7416943709, 35 clinicians

Practice addresses (Care Compare)

160 Route 9
Bayville, NJ 08721-1229
Phone 7323491977128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00664900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Mental Health Services Inc CurrentSince Oct 20, 2021 Accepting new patients
King'S Mindfulness Center Psychiatric/Mental Health Current Accepting new patients
Freehold Psychiatric Associates CurrentSince May 16, 2018 Accepting new patients

Locations

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 367
Freehold, NJ 07728
Phone (732) 637-6356

Interoperability endpoints

  • Direct secure messaging: lmarshall425289@direct.ahsys.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1821546094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SCHINDLER DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LAKEHURST RD",
            "address_2": "SUITE 2A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556380",
            "telephone_number": "732-240-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LATISHA",
        "middle_name": "LENEE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00664900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.