Active NPI
Veronica Monique Marshall, NP
- Family Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06629
- Practice address
- 2205 E 70TH St
Shreveport, LA 71105-5321 - Phone
- (318) 797-1585
- Fax
- (318) 797-6077
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP06629 | LA | Primary |
Addresses
Primary practice location
2205 E 70TH St
Shreveport, LA 71105-5321
Mailing address
2205 E 70TH St
Shreveport, LA 71105-5321
Phone (318) 797-1585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167502 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211123000305 | FL | Practitioner - Nurse Practitioner | 1759555204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06629 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Neighborhood Nurse | Family | Past | Accepting new patients |
| Openloop Healthcare Partners California PC | Past | Accepting new patients |
Locations
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122
18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 3
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.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1912289919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 E 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055321",
"telephone_number": "318-797-1585",
"fax_number": "318-797-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 E 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055321",
"telephone_number": "318-797-1585",
"fax_number": "318-797-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "VERONICA",
"middle_name": "MONIQUE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP06629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2167502",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.