Individual provider Active NPI

Candace B Marshall, RN

  • Registered Nurse
  • Lenoir, NC
National Provider Identifier
1922285253
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
124985 Issued in NC
Practice address
1966 Morganton Blvd SW Ste B
Lenoir, NC 28645-5311
Phone
(828) 426-8457
Fax
(828) 426-8527
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 124985 NC Primary

Addresses

Primary practice location

1966 Morganton Blvd SW Ste B
Lenoir, NC 28645-5311

Mailing address

1966 Morganton Blvd SW Ste B
Lenoir, NC 28645-5311
Phone (828) 426-8457

Other identifiers 1

IdentifierTypeStateIssuer
8300175KMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
124985NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell County Government Past Accepting new patients

Organizations & group practices 1

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1922285253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 MORGANTON BLVD SW STE B",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455311",
            "telephone_number": "828-426-8457",
            "fax_number": "828-426-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 MORGANTON BLVD SW STE B",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455311",
            "telephone_number": "828-426-8457",
            "fax_number": "828-426-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CANDACE",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "124985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300175K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.