Active NPI
Rose McDonald Marshall
- Registered Nurse
- Bloomington, MN
National Provider Identifier
1992238497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R168412-4
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A114982000 | Medicaid | MN |
Other names 1
- Rose Marie McDonald
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 |
|---|---|---|---|
| R168412-4 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Bloomington, MN
- NPI 1013026707
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.