Marilyn Lai Fang, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

60293 Issued in WV

Practice address

110 Mordington Ave
Charles Town, WV 25414-1693

Phone

(304) 267-3595

Fax

(304) 267-3599

NPI assigned

Nov 29, 2017

Last updated

Jun 16, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson County Board of Education

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1750550570
  NPD (past)
• Jefferson County Schools

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1639367402
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1588178511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JEFFERSON COUNTY BOARD OF EDUCATION",
            "address_2": "110 MORDINGTON AVENUE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "25414",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141693",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI FANG",
        "first_name": "MARILYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "60293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF EXAMINERS REGISTERED NURSES",
            "identifier": "60293",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Koski, OD
• Cecelia K Kpor, HEALTH CARE MANAGER
• Kathryn Kramer
• Nicole Lynn Kress-Scheidmantel, M.S., CCC-SLP
• Elizabeth Neille Kronthal, LPTA
• Katrina R Lanham, RN
• Mandy Lee
• Virginia Legg
• Jeffry D Levesque, MSW, LICSW
• Brittany Nicole Lewis

• School Registered Nurse in Charles Town, WV
• Providers in Charles Town, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.