Courtney Marshall

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R163464 Issued in MD

Practice address

2124 Priest Bridge Dr Ste 10
Crofton, MD 21114-2429

Phone

(410) 451-3000

Fax

(410) 630-7625

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 28, 2026 through Apr 28, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Greater Baltimore Medical Center, Inc.

  • Medical Oncology Physician
  • Baltimore, MD
  • NPI 1235167297
  NPD (past)
• University Care LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1497760276
  NPD (past)
• University of MD Obstetrical and Gynecological Asso. PA

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1144252990
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1871512350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 PRIEST BRIDGE DR STE 10",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142429",
            "telephone_number": "410-451-3000",
            "fax_number": "410-630-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 PRIEST BRIDGE DR STE 10",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142429",
            "telephone_number": "410-451-3000",
            "fax_number": "410-630-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "COURTNEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "R163464",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R163464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K. Malone, M.D.
• Ayushi Mangukiya
• Linda H Manna, PHARM D.
• Michael Vincent Marchese, DMD
• Mark I. Segal, LLC
• Kristen Frese Marsico, PHD, NCSP
• Jocelyn Martin, MA
• Robert Stephen Martin, D.M.D., M.D.S.
• Samantha Sybilla Martin, MA, LPC
• Terrel Lee Martin

• Psychiatric/Mental Health Nurse Practitioner in Crofton, MD
• Providers in Crofton, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.