Raven Marshall

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

16331 Issued in TN

Practice address

9154 Blufftop CV
Cordova, TN 38018-7684

Phone

(901) 859-9830

NPI assigned

Mar 25, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Yaya's Place Inc.

  • Community/Behavioral Health Agency
  • Cordova, TN
  • NPI 1154093037
  NPD Authorized official
• At Your Residence Health Care Services

  • In Home Supportive Care Agency
  • Cordova, TN
  • NPI 1114302312
  NPD (past) Authorized official

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1942694161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 BONNIE LN",
            "address_2": "106",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160548",
            "telephone_number": "901-800-2770",
            "fax_number": "901-800-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9154 BLUFFTOP CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187684",
            "telephone_number": "901-859-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RAVEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "TN",
            "license": "16331",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TN",
            "license": "16331",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TN",
            "license": "16331",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "16331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Manfredonia, PT
• Cooper Scott Manley, DO
• Melissa Manuel, FNP
• Nicole Marion
• Larissa S Marquez
• Martha a Gordon, MD, PC
• Ashley Martin, PHARMD
• Carolyn C Martin, PHD
• Cornelius Martin
• Durand Dale Martin Jr.

• Adult Companion in Cordova, TN
• Providers in Cordova, TN by specialty
• Adult Companion in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.