KELLY MARSHALL (NPI# 1649688128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649688128 |
| Entity Type | Individual |
| Full Name | KELLY MARSHALL |
| Practice Address |
1 Saint Vincents Dr San Rafael CA 94903-1504 |
| Practice Telephone | 4155072000 |
| Practice Fax Number | 4155074381 |
| Mailing Telephone | 4155072000 |
| Mailing Fax Number | 4155074381 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093283483 | Kelly L Marshall | Nurse Practitioner | 7700 E Floretine Rd, Building B Ste 101, Prescott Valley, AZ 86314-2245 | 2018-11-05 |
| 1366914129 | Kelly J Marshall | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2018-12-18 |
| 1912406992 | Kelly Marshall | Behavior Technician | 3845 Cypress Creek Parkway Suite 215, Houston, TX 77068 | 2018-02-06 |
| 1477921229 | Kelly Marshall | Speech-Language Pathologist | 12060 Sw 129th Ct, #107, Miami, FL 33186-4581 | 2015-09-10 |
| 1790109031 | Kelly Marshall | Speech-Language Pathologist | 400 W Market St, Akron, OH 44303-2011 | 2014-02-06 |
| 1639409493 | Kelly J Marshall | Occupational Therapist | 900 E 54th St N Ste 200, Sioux Falls, SD 57104-0686 | 2009-12-30 |
| 1720257850 | Kelly Marshall | Physical Therapy Assistant | 5481 Sw 60th St, Ocala, FL 34474-7698 | 2008-02-22 |
| Street Address |
1 SAINT VINCENTS DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688582 | Sonia Raquel Cavazos | Marriage & Family Therapist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2006-09-14 |
| 1760039069 | Anyssa N Haberkorn-gomez | Student in an Organized Health Care Education/Training Program | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-08-21 |
| 1205309366 | Nancy Freitas Lambert | Psychologist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-10 |
| 1710450960 | Joseph Anthony Emard | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-09 |
| 1902378482 | Catherine Serrano Florendo | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-12-21 |
| 1619452471 | Kathryn Dulay Wisniewski | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-09-27 |
| 1356829287 | Christine Lewis | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-08-02 |
| 1285126201 | Lauraleigh Carol Hungerford | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
| 1194217117 | Reanne Elise Remlinger | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
| 1467942243 | Monique Mercado | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006179 | Tara Ann Hodge | Specialist | 1475 Grand Ave., San Rafael, CA 94901 | 2014-05-21 |
| 1063654358 | Marjorie Wise King | Specialist | 33 Dunfries Ter, San Rafael, CA 94901-2415 | 2009-04-01 |
| 1689890345 | Jaquelin N Pearson | Specialist | 13 Oakcrest Dr, San Rafael, CA 94903-2842 | 2007-04-18 |
| 1104971928 | Jerome Phillip Mednick | Specialist | 7 Locksly Ln, San Rafael, CA 94901-2426 | 2007-01-24 |
| 1700962685 | Michael S Taekman | Specialist | 15 Oakmont Ct, San Rafael, CA 94901-1235 | 2006-10-31 |
| 1023116290 | Leslie Dawn Scott | Specialist | 161 Mitchell Blvd Ste 101, San Rafael, CA 94903-2068 | 2006-09-20 |
| 1477566099 | Caroline Bourcier | Specialist | 9 La Loma Ct, San Rafael, CA 94901-5147 | 2006-08-14 |
| 1417921339 | Jesse J Mazza | Specialist | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2006-02-15 |
| 1447253919 | Marin Ophthalmic Consultants, A Medical Corporation | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-27 |
| 1992208136 | Yelena Pomazan | Specialist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-03-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on KELLY MARSHALL.
| 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.