Nell Marse X

Individual provider Active NPI Homemaker · Lakewood, CO

NPI 1891164166 · NPPES record last updated Sep 17, 2015

Key facts

NPI
1891164166
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
License
04S209 (CO)
Practice address
44 Harlan St
Lakewood, CO 80226-2213
Phone
(360) 649-0146
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
04S209COMDHomemaker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 04S209 CO Yes

Addresses

Primary practice location

44 Harlan St
Lakewood, CO 80226-2213

Mailing address

44 Harlan St
Lakewood, CO 80226-2213
Phone (360) 649-0146

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 17, 2015.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1891164166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HARLAN ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262213",
            "telephone_number": "360-649-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HARLAN ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262213",
            "telephone_number": "360-649-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSE",
        "first_name": "NELL",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CO",
            "license": "04S209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

All providers in Lakewood, CO · Homemaker in Colorado

Sources for this page

Verify at the official NPI Registry.