Andrea Merrell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10313326 Issued in NY

Practice address

306 20TH Ave
Blossvale, NY 13308-3630

Phone

(315) 761-6806

NPI assigned

Jul 24, 2015

Last updated

Jul 24, 2015By 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

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1003291667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 20TH AVE",
            "city": "BLOSSVALE",
            "state": "NY",
            "postal_code": "133083630",
            "telephone_number": "315-761-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 20TH AVE",
            "city": "BLOSSVALE",
            "state": "NY",
            "postal_code": "133083630",
            "telephone_number": "315-761-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "ANDREA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10313326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Bostwick, M.S.ED
• David Wayne Donaldson
• Patricia Lynn Oakes, LPN
• Sharon Beth Sankey, LPN
• Jeanette Vanslyke

• Licensed Practical Nurse in Blossvale, NY
• Providers in Blossvale, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.