Nicole Marie Marshall
Physician Assistant

Address: 1229 Madison St, Suite 1480, Seattle, WA 98104-3586
Phone: 2063466647

Nicole Marie Marshall (NPI# 1518284736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1518284736
Entity Type Individual
Full Name Nicole Marie Marshall
Credential PA-C
Gender Female
Practice Address 1229 Madison St
Suite 1480
Seattle
WA 98104-3586
Practice Telephone 2063466647
Practice Fax Number 2063466022
Mailing Address 1229 Madison St
Suite 1480
Seattle
WA 98104-3586
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-04-27
Last Update Date 2015-04-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA60253481 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA 1841371960 OTHER GROUP NPI
WA 911954101 OTHER TIN
WA GAB37422 OTHER GROUP PTAN

Other Providers NICOLE MARSHALL

NPI Name Taxonomy Address Enumeration
1750733036 Nicole Marie Marshall Chiropractor 42 Hickory Hill Dr, Warwick, NY 10990-2826 2016-07-11
1669839841 Nicole Alexandra Marshall Massage Therapist 9900 12th Ave W, I104, Everett, WA 98204-1133 2016-01-20
1225384969 Nicole Marie Marshall Physical Therapist 2505 Nw Todds Crest Dr, Bend, OR 97703-7525 2012-07-31
1346712528 Nicole Moni'que Marshall Behavior Technician 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 2018-12-27
1912475328 Nicole Elizabeth Marshall Physician Assistant 230 N Broad St, Philadelphia, PA 19102-1178 2018-11-05
1871002808 Nicole Marshall Counselor 1801 Vicente St, San Francisco, CA 94116 2017-09-21
1134351885 Nicole Sirrine Marshall Psychologist 10 Forest Park Dr, Farmington, CT 06032-1499 2009-08-13
1609062728 Nicole Marshall Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, L458, Portland, OR 97239-3011 2007-09-21
1932228855 Nicole Marshall Midwife 703 Main St, Paterson, NJ 07503-2621 2007-03-29
1164433892 Nicole Ann Marshall Optometrist 11369 Nuckols Rd, Glen Allen, VA 23059-5504 2006-08-10

Physician Overview

NPI 1518284736
PAC ID by PECOS 1254506512
Professional Enrollment ID I20111214000996
Full Name Nicole M Marshall
Organization Legal Name SKIN SURGERY CENTER, P.S.
Phone Number 2063466647
Gender F
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2567456882
Number of Group Practice Members 7
Accepts Medicare Assignment Y
Report Quality Measures Y

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_137_1 Melanoma: Continuity of Care - Recall System 95%
PQRS_EP_265_1 Biopsy Follow-Up 97%

Office Location

Street Address 1229 MADISON ST
SUITE 1480
City SEATTLE
State WA
Zip Code 98104-3586

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659967 Dianne B Thompson Dermatology 1229 Madison St, Ste 1290, Seattle, WA 98104-3568 2005-06-20
1073005393 Jennifer Brooke Jiru Registered Nurse 1229 Madison St, Ste 1440, Seattle, WA 98104-3538 2018-06-01
1942733787 Tessa Marzulla Genetic Counselor, MS 1229 Madison St, Suite 750, Seattle, WA 98104-3586 2017-04-08
1386185098 Rajitha Mathew Nurse Practitioner 1229 Madison St, Suite #1190, Seattle, WA 98104-3586 2017-03-14
1982149761 The Polyclinic Clinic/Center 1229 Madison St, Suite 1090, Seattle, WA 98104-3586 2017-01-03
1881136430 Jonathan Flint Registered Nurse 1229 Madison St, # 1440, Seattle, WA 98104-3586 2016-11-14
1780126805 First Hill Imaging Center LLC Radiology 1229 Madison St, Suite 900, Seattle, WA 98104-1391 2016-11-07
1508318726 Caitlin Connolly Registered Nurse 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 2016-11-04
1811445018 Northwest Glaucoma and Cataract Consultants, LLC Clinic/Center 1229 Madison St, Suite 1250, Seattle, WA 98104-3586 2016-09-15
1275080202 Diane Elizabeth Sy Nurse Anesthetist, Certified Registered 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 2016-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023671625 Reverve Pt Physical Therapist 114 Alaska Way S, Suite 506, Seattle, WA 98104 2019-04-18
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
1225540545 Mary Elizabeth Micikas Registered Nurse 515 Minor Ave Ste 170, Seattle, WA 98104 2017-10-26
1033629506 Ashley Negron Registered Nurse Harborview Center for Sexual Assault and Tramautic Stre, 401 Broadway Suite 2075, Seattle, WA 98104 2017-10-10
1770018889 Alison S Bae Student in an Organized Health Care Education/Training Program 325 9th Ave, Mail Stop #359796, 7th Floor Center Tower Room 73.1, Seattle, WA 98104 2017-04-26
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417463720 Amadi Aesthetics Plastic Surgery Pllc Physician Assistant 1503 2nd Ave W, Seattle, WA 98119-3007 2017-12-21
1629582093 Rebecca Elizabeth Bozeman Physician Assistant 2359 Franklin Ave E Unit 416, Seattle, WA 98102-3981 2017-11-21
1174062434 Ngoc Diep Vu Physician Assistant 5832 Ne 75th St Unit E103, Seattle, WA 98115-6307 2017-02-20
1326586389 Sarah Elizabeth Aker Physician Assistant 1959 Ne Pacific St Univeresity of Washington, Seattle, WA 98195-5042 2017-02-09
1487104840 Joseph Gee Lim Physician Assistant 908 Jefferson St Fl 5, Seattle, WA 98104-2433 2016-10-10
1952851651 Kristen Rheinlander Physician Assistant 5398 Russell Ave Nw Apt B, Seattle, WA 98107-3945 2016-10-06
1205283736 Drew Jacobs Physician Assistant 6520 23rd Ave Ne Apt 301, Seattle, WA 98115-6046 2016-05-13
1831557107 Andrea Alys Burgess Physician Assistant 600 Broadway Swedish Maxillofacial Surgery, Suite 460, Seattle, WA 98122 2016-02-02
1982062352 Jacquelyn Lorie Physician Assistant 1221 Madison St Ste 600 Seattle, Seattle, WA 98104-3588 2016-02-01
1508236951 Sarah Katherine Fadich Physician Assistant 123 Broadway E, Seattle, WA 98102-5711 2015-09-28
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City SEATTLE
Zip Code 98104

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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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