Active NPI
Merlo Isang Llaneza Sr.
- Home Health Aide
- Anchorage, AK
National Provider Identifier
1003125493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 100875
- Practice address
- 1609 Betula Cir
Anchorage, AK 99507-4126 - Phone
- (907) 382-5040
- Fax
- (907) 522-0564
- NPI assigned
- Oct 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 100875 | AK | Primary |
Addresses
Primary practice location
1609 Betula Cir
Anchorage, AK 99507-4126
Mailing address
1609 Betula Cir
Anchorage, AK 99507-4126
Phone (907) 382-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6522461 | Medicaid | AK |
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 |
|---|---|---|---|
| 100875 | AK | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1003125493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 BETULA CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074126",
"telephone_number": "907-382-5040",
"fax_number": "907-522-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 BETULA CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074126",
"telephone_number": "907-382-5040",
"fax_number": "907-522-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLANEZA",
"first_name": "MERLO",
"middle_name": "ISANG",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-01",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AK",
"license": "100875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6522461",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.