Daisy Crystal Marie Marcus, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

151818 Issued in OK

Practice address

2672 Two Ridge Ave
Lancaster, OH 43130-7821

Phone

(740) 409-2449

NPI assigned

Aug 1, 2014

Last updated

Aug 1, 2014By 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 names 1

• Miss Daisy Crystal Marie Ryser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1912315029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 TWO RIDGE AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307821",
            "telephone_number": "740-409-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 TWO RIDGE AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307821",
            "telephone_number": "740-409-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "DAISY",
        "middle_name": "CRYSTAL MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "151818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "RYSER",
            "middle_name": "CRYSTAL MARIE",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber J Mallory, MSW, LSW
• Kaitlin Mallory, PHARMD
• Alexia McKinnley Malone
• Charlotte L Manley, RN
• Joseph Mannella, MD
• Katy Mae Marcus, CNP
• Marilyn K. Kosier, M.D., Inc.
• Marinacci Medical Laboratory Inc
• Ariel Marion
• Mark D Henry OD Inc (Primary Vision Care)

• Licensed Practical Nurse in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.