Active NPI
Marla Lisette Demars, CFNP, CGNP
- Gerontology Nurse Practitioner
- Rapid City, SD
National Provider Identifier
1760560957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- CP000459
- Practice address
- 5021 Ireland PL
Rapid City, SD 57702-8327 - Phone
- (605) 342-9788
- NPI assigned
- Nov 2, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000459 OR RO34854 | SD | |
| Gerontology Nurse Practitioner | 363LG0600X | CP000459 | SD | Primary |
Addresses
Primary practice location
5021 Ireland PL
Rapid City, SD 57702-8327
Mailing address
5021 Ireland PL
Rapid City, SD 57702-8327
Phone (605) 342-9788
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP000459 OR RO34854 | SD | MD | Family Nurse Practitioner |
| CP000459 | SD | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760560957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 IRELAND PL",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028327",
"telephone_number": "605-342-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 IRELAND PL",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028327",
"telephone_number": "605-342-9788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARS",
"first_name": "MARLA",
"middle_name": "LISETTE",
"credential": "CFNP, CGNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000459 OR RO34854",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SD",
"license": "CP000459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.