KATHLEEN M MARSHALL NP NPI 1619977949

NPI Information

  • NPI: 1619977949
  • Provider Name: KATHLEEN M MARSHALL, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 582 NEW LOUDON RD
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 389-7133

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NPI Details

Kathleen M Marshall, NP is a family nurse practitioner in Latham, NY. Kathleen M Marshall, NP NPI is 1619977949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

582 NEW LOUDON RD
LATHAM, NY
ZIP 12110-029
Phone: (518) 389-7133
Fax: (518) 782-7155

The NPI 1619977949 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 8/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily332707NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102041541MEDICAIDNEW YORK
2BB9386MEDICARE PIN
3F64545MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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