Individual provider Active NPI

Marisa Mae Pulsifer, LPN

  • Licensed Practical Nurse
  • Saranac Lake, NY
National Provider Identifier
1396463394
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
344059 Issued in NY
Practice address
159 Glenwood Dr
Saranac Lake, NY 12983-2385
Phone
(518) 891-3950
NPI assigned
Aug 16, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 344059 NY Primary

Addresses

Primary practice location

159 Glenwood Dr
Saranac Lake, NY 12983-2385

Mailing address

159 Glenwood Dr
Saranac Lake, NY 12983-2385
Phone (518) 891-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
344059NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1396463394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 GLENWOOD DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832385",
            "telephone_number": "518-891-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GLENWOOD DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832385",
            "telephone_number": "518-891-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULSIFER",
        "first_name": "MARISA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2026-09-29",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "344059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.