MONTINA MARSHALL (NPI# 1386133726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386133726 |
Entity Type | Individual |
Full Name | MONTINA MARSHALL |
Practice Address |
10 Brandonwood Dr O Fallon IL 62269-1208 |
Practice Telephone | 3056093395 |
Enumeration Date | 2018-05-01 |
Last Update Date | 2018-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
Street Address |
10 BRANDONWOOD DR |
City | O FALLON |
State | IL |
Zip Code | 62269-1208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508350133 | Anit Care Services of Illinois | Community/Behavioral Health | 10 Brandonwood Dr, O Fallon, IL 62269-1208 | 2018-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
Find all providers in zip 62269 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427564947 | Debora Ester Walder | Day Training/Habilitation Specialist | 6809 S Carpenter St, Chicago, IL 60621-1131 | 2017-12-20 |
1033519426 | Laconda Sesson | Day Training/Habilitation Specialist | 520 Thornwood Dr, South Holland, IL 60473-3462 | 2014-09-04 |
1093983348 | Malgorzata Monika Rybka-o'malley | Day Training/Habilitation Specialist | 1268 North Ave., Highland Park, IL 60035 | 2008-02-20 |
1538289087 | Denise Joanne Ambuehl | Day Training/Habilitation Specialist | Rr 2 Box 227, Mulberry Grove, IL 62262-9305 | 2007-03-29 |
1568940971 | Carol June Easley | Day Training/Habilitation Specialist | 121 E 2nd St, Beardstown, IL 62618-1263 | 2018-07-30 |
1548748965 | Allison J Coatney | Day Training/Habilitation Specialist | 121 E 2nd St, Beardstown, IL 62618-1263 | 2018-07-30 |
1306348719 | Chere Danielle Shaner | Day Training/Habilitation Specialist | 121 E 2nd St, Beardstown, IL 62618-1263 | 2018-03-01 |
1538661178 | Robin A Days | Day Training/Habilitation Specialist | 121 E 2nd St, Beardstown, IL 62618-1263 | 2018-02-28 |
1215436100 | Julie Kathleen Hester | Day Training/Habilitation Specialist | 121 E 2nd Street, Beardstown, IL 62618-1263 | 2018-02-06 |
1003329897 | Emily Fencl | Day Training/Habilitation Specialist | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2017-11-15 |
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.