Active NPI
Jennifer Erin Marschall
- Speech-Language Pathologist
- Nampa, ID
National Provider Identifier
1962019539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ST-4045
- Practice address
- 1127 Caldwell Blvd
Nampa, ID 83651-1701 - Phone
- (208) 465-4935
- NPI assigned
- Sep 28, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | ST-4045 | ID | Primary |
Addresses
Primary practice location
1127 Caldwell Blvd
Nampa, ID 83651-1701
Mailing address
1554 S Riverstone LN Apt 206
Boise, ID 83706-4077
Phone (626) 800-8225
Other practice location 1
1554 S Riverstone Ln Apt 206
Boise, ID 83706-4077
Phone (626) 800-8225
Other practice location 2
2609 Sunnybrook Dr
Nampa, ID 83686-6332
Phone (208) 467-7298
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ST-4045 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1962019539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1554 S RIVERSTONE LN APT 206",
"city": "BOISE",
"state": "ID",
"postal_code": "837064077",
"telephone_number": "626-800-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 CALDWELL BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511701",
"telephone_number": "208-465-4935"
}
],
"practiceLocations": [
{
"address_1": "1554 S Riverstone Ln Apt 206",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837064077",
"country_code": "US",
"telephone_number": "626-800-8225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2609 Sunnybrook Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836866332",
"country_code": "US",
"telephone_number": "208-467-7298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSCHALL",
"first_name": "JENNIFER",
"middle_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "ST-4045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.