Stephanie Nicole Marcus, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

205984 Issued in TX

Practice address

670 W Fireweed LN
Anchorage, AK 99503-2562

Phone

(907) 770-0862

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1982235198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 COUNTY ROAD 381",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786292794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W FIREWEED LN",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032562",
            "telephone_number": "907-770-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "AK",
            "license": "192304",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "205984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thatiana Marchi Reisig
• Stacey Marchini
• Aide' Rodriguez Marcontell, HS1
• Conley L Marcum Jr., O.D.
• Ericka Marie Marcum
• Daniel Mardones, MD
• Marek Martynowicz Inc.
• Maura Marek
• Abdou Kemo Marenah
• Coumba Ceesay Marenah, CARE COORDINATOR

• Licensed Vocational Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Licensed Vocational Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.