Katherine Merchant

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

255969 Issued in NY

Legal business name

KATHERINE MERCHANT

Practice address

22 Moriches Ave
Mastic, NY 11950-3835

Phone

(631) 879-7045

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Merchant, LPN

Title

LPN

Phone

(631) 879-7045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1013259183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MORICHES AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503835",
            "telephone_number": "631-879-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MORICHES AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503835",
            "telephone_number": "631-879-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MERCHANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "631-879-7045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "255969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Lyn Jackson, LPN
• Suzzanna Javed
• Sonja W. Jensen, LPN
• Lisa E Jones-Koliski, RN
• Samantha Nicole Kappenmacher, LCSW
• Veronica Katsaros
• Christopher Keibel, PTA
• Krystle Lee Kenyon, M.S.E.D
• Alan Kiceina, RN
• Kids Alternative Learning & Intervention Services, LLC

• Skilled Nursing Facility in Mastic, NY
• Providers in Mastic, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.