Individual provider Active NPI

Marcia Drish, LPN

  • Licensed Practical Nurse
  • Glendale, CO
National Provider Identifier
1467828640
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
P14489 Issued in IA
Practice address
4500 E Cherry Creek South Dr
Suite 940
Glendale, CO 80246-1518
Phone
(303) 322-7108
Fax
(303) 322-9989
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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 P14489 IA Primary

Addresses

Primary practice location

4500 E Cherry Creek South Dr
Suite 940
Glendale, CO 80246-1518

Mailing address

4500 E Cherry Creek South Dr
Suite 940
Glendale, CO 80246-1518
Phone (303) 322-7108

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
P14489IAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1467828640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR",
            "address_2": "SUITE 940",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461518",
            "telephone_number": "303-322-7108",
            "fax_number": "303-322-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR",
            "address_2": "SUITE 940",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461518",
            "telephone_number": "303-322-7108",
            "fax_number": "303-322-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISH",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P14489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.