Alexis Joelle Marshall

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1021 W E St
Belleville, IL 62220-1055

Phone

(618) 791-3073

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1891359733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREENVIEW ST",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620953218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W E ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201055",
            "telephone_number": "618-791-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ALEXIS",
        "middle_name": "JOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183390103",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noreen Manzoor
• Stuart L Marcus, LCSW, ACSW
• Mark S. Feldman, M.D. P.C. (Mark S. Feldman, M.D.)
• John Robert Markarian, D.M.D.
• Kenyetta Montrece Marshall-Williams, LCSW
• Anna Marshall, BCCHHP
• Eric Ray Marshall, RN
• Lauren Nicole Marshall, FNP
• Sheila Marshall, LPC
• Marshmallows Hope Nonprofit Organization Corp.

• Occupational Therapy Assistant in Belleville, IL
• Providers in Belleville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.