MARLA LISETTE DEMARS (NPI# 1760560957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760560957 |
Entity Type | Individual |
Full Name | MARLA LISETTE DEMARS |
Credential | CFNP, CGNP |
Practice Address |
5021 Ireland Pl Rapid City SD 57702-8327 |
Practice Telephone | 6053429788 |
Mailing Telephone | 6053429788 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000459 OR RO34 | SD | Physician Assistants & Advanced Practice Nursing Providers |
X | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CP000459 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5021 IRELAND PL |
City | RAPID CITY |
State | SD |
Zip Code | 57702-8327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
Find all providers in zip 57702 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
1306211040 | Cynthia A Stocks | Nurse Practitioner | 23892 S Rockerville Rd, Rapid City, SD 57702-7412 | 2015-12-07 |
1427307941 | Summer Lynn Wilcox | Nurse Practitioner | 19 Idlewood Dr, Rapid City, SD 57701-0748 | 2012-08-29 |
1083900310 | Olivia Bingaman | Nurse Practitioner | 1760 Centre St Ste B, Rapid City, SD 57703 | 2011-06-24 |
1891009973 | Kara K Stapert | Nurse Practitioner | 1600 Mountain View Rd Ste 108, Rapid City, SD 57702-4354 | 2010-08-02 |
1356313811 | Susan A Matthew | Nurse Practitioner | 7236 Jordan Drive Suite 101, Rapid City, SD 57701 | 2006-02-07 |
1033189790 | Paulette A Kirby | Nurse Practitioner | 811 Columbus St, Rapid City, SD 57701-3540 | 2006-01-25 |
1134108699 | Jane A Langbehn | Nurse Practitioner | 2908 5th St, Rapid City, SD 57701-7317 | 2006-01-12 |
Find all providers in RAPID CITY |
City | RAPID CITY |
Zip Code | 57702 |
Please comment or provide details below to improve the information on MARLA LISETTE DEMARS.
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.