Individual Healthcare Provider
Marketta Mccollough
Provider's NPPES record last updated: June 30, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407517121
- Primary Specialty
- Registered Nurse — Community Health
- Practice Location
- Chicago, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Community Health
Nursing Service Providers
Definition to come...
Taxonomy code 163WC1500X Registered Nurse
Rehabilitation
Nursing Service Providers
Definition to come...
Taxonomy code 163WR0400XCommunity Health Worker
Other Service Providers
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Taxonomy code 172V00000XRegistered Nurse
Home Health
Nursing Service Providers
Definition to come...
Taxonomy code 163WH0200XRegistered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000X
Provider-Reported License Information
- Registered Nurse (Illinois)
- 2023-N1952
- Registered Nurse (Illinois)
- 2023-N1952
- Registered Nurse (Illinois)
- 2023-N1952
- Registered Nurse (Illinois)
- 2023-N1952
Practice Locations
Practice Location
9932 S Western Ave
Chicago, Illinois 60643-1831
Phone: (312) 868-0004
Record Information
- Enumeration Date
- January 5, 2022
- Provider's NPPES Record Last Updated
- June 30, 2023
- Certification Date
- June 30, 2023
- NPISignal NPPES Dataset
- August 2026
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