Individual provider Active NPI

Korey Marshall, NP

  • Family Nurse Practitioner
  • Latham, NY
National Provider Identifier
1902362627
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344032 Issued in NY
Practice address
596 New Loudon Rd
Latham, NY 12110-4024
Phone
(518) 782-7133
Fax
(518) 782-7155
NPI assigned
Feb 19, 2019
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 344032 NY
Family Nurse Practitioner 363LF0000X 344032 NY Primary

Addresses

Primary practice location

596 New Loudon Rd
Latham, NY 12110-4024

Mailing address

PO Box 11719
Albany, NY 12211-0719
Phone (518) 782-7133

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other practice location 2

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221

Other practice location 3

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Payer.Credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190403001069 NY Practitioner - Nurse Practitioner 1557602406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Feeney MD PLLCGroup PAC ID 2163401134, 3 clinicians

Practice addresses (Care Compare)

596 New Loudon Rd
Latham, NY 12110-4024
Phone (518) 782-7133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344032NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Nurse Practitioner CurrentSince Apr 21, 2019 Accepting new patients
St. Peter's Hospital of the City of Albany Nurse Practitioner CurrentSince Apr 21, 2019 Accepting new patients
St. Peter's Hospital of the City of Albany Nurse Practitioner CurrentSince Apr 21, 2019 Accepting new patients
William J Feeney MD PLLC CurrentSince Dec 31, 2022 Accepting new patients
Lee and Burack OB/GYN, P.C. CurrentSince Mar 1, 2022 Accepting new patients
Steven E Fox Inc CurrentSince Dec 31, 2022 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

596 New Loudon Rd
Latham, NY 12110
Phone (518) 782-7133

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: korey.marshall@593172783366148.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1902362627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11719",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122110719",
            "telephone_number": "518-782-7133",
            "fax_number": "518-782-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104024",
            "telephone_number": "518-782-7133",
            "fax_number": "518-782-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KOREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "344032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Payer.Credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2215 Burdett Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.