Liza Marcelo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

152067 Issued in NY

Practice address

Colorado State University
Hartshorn Health Service
Fort Collins, CO 80523-0001

Phone

(970) 491-6548

Fax

(970) 491-0268

NPI assigned

Oct 30, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1154759181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 RICE ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017127",
            "telephone_number": "970-491-6548",
            "fax_number": "970-491-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLORADO STATE UNIVERSITY",
            "address_2": "HARTSHORN HEALTH SERVICE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805230001",
            "telephone_number": "970-491-6548",
            "fax_number": "970-491-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELO",
        "first_name": "LIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "152067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Mansur
• Lauren Manzella, PMHNP
• Lauren A Maples, PH.D.
• Erin D Maranjian, NCMT,CLT-LANA
• Marc a Provencher
• David R Marchant, MD
• Marcie L Mata, LPC, LLC
• Mahalia Marcotte, M.D.
• Marley R Mardock
• Emily Marette, CD(DONA)

• Licensed Practical Nurse in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.