Individual provider Active NPI

Rose McDonald Marshall

  • Registered Nurse
  • Bloomington, MN
National Provider Identifier
1992238497
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R168412-4 Issued in MN
Practice address
2626 East 82ND Street
Suite 180
Bloomington, MN 55425-4503
Phone
(952) 814-7400
Fax
(952) 853-0966
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R168412-4 MN Primary

Addresses

Primary practice location

2626 East 82ND Street
Suite 180
Bloomington, MN 55425-4503

Mailing address

2626 East 82ND Street
Suite 180
Bloomington, MN 55425-4503
Phone (952) 814-7400

Other identifiers 1

IdentifierTypeStateIssuer
A114982000MedicaidMN

Other names 1

  • Rose Marie McDonald Former name

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

LicenseStateTypeSpecialty
R168412-4MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
All Home Health Incorporated Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1992238497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 EAST 82ND STREET",
            "address_2": "SUITE 180",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254503",
            "telephone_number": "952-814-7400",
            "fax_number": "952-853-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 EAST 82ND STREET",
            "address_2": "SUITE 180",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254503",
            "telephone_number": "952-814-7400",
            "fax_number": "952-853-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ROSE",
        "middle_name": "MCDONALD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R168412-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A114982000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "MCDONALD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.