Lorraine Marshall
Individual provider Active NPI Family Nurse Practitioner · Lauderhill, FL
NPI 1962884874 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1962884874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN9327564 (FL)
- Practice address
- 3485 Inverrary Blvd W
Lauderhill, FL 33319-7112 - Phone
- (954) 260-9496
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180605001146 | FL | Practitioner - Nurse Practitioner | 1456616960 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9327564 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Senior Services Inc | Current |
Accepting new patients | |
| Jupiter Lakes Physician Group PA | Current |
Accepting new patients |
Locations
210 Jupiter Lakes Blvd
Ste 4104
Jupiter, FL 33458
Phone (561) 743-9077
210 Jupiter Lakes Blvd
Ste 420
Jupiter, FL 33458
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
Interoperability endpoints
- lmarshall27693@jupitermedicalcenter.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9327564 | FL | Yes |
Addresses
Primary practice location
3485 Inverrary Blvd W
Lauderhill, FL 33319-7112
Mailing address
3485 Inverrary Blvd W
Lauderhill, FL 33319-7112
Other providers in Lauderhill, FL
- Marie Julienne Health & Beauty LLC
- Marino Family Dental LLC
- Amy Nicole Marks
- Blossom Marshall
- Justin Michael Marshall
- Carline Anne Martin-Hernandez
- Omaira Martinez
- Mary G Nochimson DC PA
- Mary Seacole Healthcare
- Allison Mason
All providers in Lauderhill, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.