Desirae Jones Marshall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002095700 Issued in VA

Practice address

100 Anna Goode Way
Suffolk, VA 23434-9236

Phone

(757) 923-5548

NPI assigned

Dec 17, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1932916533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BILTMORE PL",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237021103",
            "telephone_number": "757-339-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ANNA GOODE WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349236",
            "telephone_number": "757-923-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DESIRAE",
        "middle_name": "JONES",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002095700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Renee Mantay, AGACNP-BC
• Vivian U Mapanao, MD
• Sandrine Laure Deighela Mapokam, FNP-BC
• Shaila Marcano-Stewart, COTA/L
• Aaron L Marlow, M.D.
• Samantha Marie Persson Marshall, FNP-BC
• Christy-Ana Martin, RBT
• Lourdes Echenique Martin, M.D.
• Pierre Thomas Martin, MD
• Shawna Rae Martin

• Licensed Practical Nurse in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.