Individual provider Active NPI

Veronica Monique Marshall, NP

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1912289919
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06629 Issued in LA
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

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2167502MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123000305 FL Practitioner - Nurse Practitioner 1759555204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06629LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Mar 1, 2025 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.

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

Verify at the official NPI Registry.