MONTINA MARSHALL


Address: 10 Brandonwood Dr, O Fallon, IL 62269-1208
Phone: 3056093395

MONTINA MARSHALL (NPI# 1386133726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Office Location

Street Address 10 BRANDONWOOD DR
City O FALLON
State IL
Zip Code 62269-1208

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City O FALLON
Zip Code 62269

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Dataset Information

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.

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