Active NPI
Patrice Marshall
- Student in an Organized Health Care Education/Training Program
- Torrance, CA
National Provider Identifier
1982102760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 19401 S Vermont Ave
Torrance, CA 90502-1029 - Phone
- (310) 323-6887
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
19401 S Vermont Ave
Torrance, CA 90502-1029
Mailing address
19401 S Vermont Ave
Torrance, CA 90502-1029
Other practice location 1
5803 W Craig Rd Ste 105
Las Vegas, NV 89130-2537
Phone (702) 901-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speakeasy Therapy Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1114315801
-
- Speech-Language Pathologist
- North Las Vegas, NV
- NPI 1790516722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1982102760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 S VERMONT AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 S VERMONT AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021029",
"telephone_number": "310-323-6887"
}
],
"practiceLocations": [
{
"address_1": "5803 W Craig Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891302537",
"country_code": "US",
"telephone_number": "702-901-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "PATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.