MRS. LYVETTA WALKER MARSHALL (NPI# 1376869263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376869263 |
| Entity Type | Individual |
| Full Name | MRS. LYVETTA WALKER MARSHALL |
| Credential | SPECIALIST |
| Practice Address |
187 Hightower Dr Suite B Martinez GA 30907-8405 |
| Mailing Address |
3781 Freeman Dr Martinez GA 30907-9578 |
| Practice Telephone | 7068239973 |
| Mailing Telephone | 7064956166 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CO072859 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
187 HIGHTOWER DR SUITE B |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075117 | Alan Medford | Orthotic Fitter | 1020 Angelo Ct Ne, Atlanta, GA 30319-1042 | 2018-12-28 |
| 1508105875 | Wayne Washington | Orthotic Fitter | 422 E Park Ave, Valdosta, GA 31602-3036 | 2013-02-06 |
| 1508923020 | Allison Boynton Beck | Orthotic Fitter | 156 N Main Street, Clayton, GA 30525 | 2007-01-03 |
| 1093881708 | Sheryl Avon Skipper | Orthotic Fitter | 118 S Madison St Ste 1, Thomasville, GA 31792-5400 | 2006-11-27 |
| 1750480901 | Advanced Diabetic Solutions LLC | Orthotic Fitter | 1580 Atkinson Rd, Lawrenceville, GA 30043-5600 | 2006-09-22 |
| 1356450209 | Bari F Levens | Orthotic Fitter | 1303 Dantignac Street, Suite 1000, Augusta, GA 30901-2776 | 2006-08-30 |
| 1083672695 | Melvin Dixon | Orthotic Fitter | 753 N Indian Creek Dr, Clarkston, GA 30021-2347 | 2006-05-03 |
| 1255397147 | Jeffery Dean Parson | Orthotic Fitter | 1619 John Orr Drive, Tifton, GA 31794-3640 | 2006-04-21 |
| 1821269887 | Ehteshamul Haque | Orthotic Fitter | 4820 Armour Rd, Suite A-4, Columbus, GA 31904-5296 | 2008-03-18 |
| 1366623878 | Gregory Allen Hankins | Orthotic Fitter | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.