KRYSTAL K MARSHALL (NPI# 1760915854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760915854 |
| Entity Type | Individual |
| Full Name | KRYSTAL K MARSHALL |
| Credential | NNP |
| Practice Address |
8111 Township Line Rd Indianapolis IN 46260 |
| Mailing Address |
250 W 96th St # 520 Indianapolis IN 46260-1316 |
| Practice Telephone | 3174157921 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
71007041A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
041409825 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300020844 | 05 | |
| IN | MEDICARE RR | P02198221 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 N Ritter Ave, Indianapolis, IN 462193027 | 3173551411 | |
| 8111 Township Line Rd, Indianapolis, IN 46260 | 3174157921 |
| Street Address |
8111 TOWNSHIP LINE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1891327730 | Claire Richey | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2020-02-09 |
| 1245861848 | Cindy Ann Syrek | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2020-02-01 |
| 1356832638 | Jenna K Maple | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-05-23 |
| 1194221929 | Edwin Neal Shoemaker | Student in an Organized Health Care Education/Training Program | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-04-02 |
| 1417451147 | Hollie Elizabeth Ainley | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2018-03-19 |
| 1164961660 | Morgan D Crum | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2017-02-16 |
| 1154772465 | Debra A Moon | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-06-28 |
| 1548614191 | Jessica L Greene | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-04-20 |
| 1457760811 | Whitney Hammond | Physician Assistant | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2014-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942056 | Catherine Marie Boggs | Nurse Practitioner | 720 Eskenazi Ave, Indianapolis, IN 46202-5187 | 2020-11-08 |
| 1265050207 | Katelyn R. Redman | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-07 |
| 1245857796 | Heather Dawn Fitch | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-01 |
| 1891327730 | Claire Richey | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2020-02-09 |
| 1184286791 | Casey Joanne Callahan | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-07-03 |
| 1770144347 | Kari L. Lappin | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-25 |
| 1881254993 | Danielle Marie Mcmonagle | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-20 |
| 1952960908 | Jessica Jo Whitesell | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-12 |
| 1952960171 | Emily M Anderson | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-11 |
| 1356832638 | Jenna K Maple | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-05-23 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on KRYSTAL K 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.