MARCIA LYNNE SHROCK APRN NPI 1548389752

NPI Information

NPI: 1548389752
Provider Name: MARCIA LYNNE SHROCK, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
122 N WATTERSON TRL
LOUISVILLE, KY
ZIP 40243
Phone: (502) 314-7050
Get Directions

Marcia Lynne Shrock, APRN is an adult health nurse practitioner in Louisville, KY. Marcia Lynne Shrock, APRN NPI is 1548389752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

122 N WATTERSON TRL
LOUISVILLE, KY
ZIP 40243-700
Phone: (502) 314-7050
Fax: (502) 245-7992

The NPI 1548389752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	3004426	KENTUCKY	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	02529	NEW MEXICO	No
3	363LA2200X	Nurse Practitioner	Adult Health	124312	TEXAS	No
4	363LA2200X	Nurse Practitioner	Adult Health	99063696A	INDIANA	No
5	363LA2200X	Nurse Practitioner	Adult Health	18795	SOUTH CAROLINA	No
6	363LA2200X	Nurse Practitioner	Adult Health	CNP151106	MAINE	No
7	363LA2200X	Nurse Practitioner	Adult Health	201505322NP-PP	OREGON	No
8	363LA2200X	Nurse Practitioner	Adult Health	5009232	NORTH CAROLINA	No
9	363LP2300X	Nurse Practitioner	Primary Care	COA.14296-NP	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100214550	MEDICAID	KENTUCKY
2	COA.14296-NP	OTHER	OHIO	STATE NP LICENSE
3	5009232	OTHER	NORTH CAROLINA	NC NP LICENSE
4	71005296A	OTHER	INDIANA	IN NP LICENSE
5	201505322NP-PP	OTHER	OREGON	OR NP LICENSE
6	CNP-02529	OTHER	NEW MEXICO	STATE ARNP LICENSE
7	CNP151106	OTHER	MAINE	NP LICENSE
8	18795	OTHER	SOUTH CAROLINA	STATE ARNP LICENSE
9	201504071RN	OTHER	OREGON	OR RN LICENSE
10	3004426	OTHER	KENTUCKY	STATE APRN LICENSE
11	AP124312	OTHER	TEXAS	STATE ARNP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »