Individual provider Active NPI

Janet Kikily Merriam, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1033648761
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-110124 Issued in AL
Practice address
1111 Wayne Rd NW
Huntsville, AL 35806-3567
Phone
(256) 288-3333
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-110124 AL Primary

Addresses

Primary practice location

1111 Wayne Rd NW
Huntsville, AL 35806-3567

Mailing address

107 Cherita LN
Harvest, AL 35749-8033
Phone (256) 337-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170921003009 AL Practitioner - Nurse Practitioner 7113291600 Reassigns benefits to 1 organization
I20201214000831 TN Practitioner - Nurse Practitioner 7113291600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

333 Business Cir
Pelham, AL 35124-1778
Phone (205) 255-3822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-110124ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1910 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 255-0820

5315 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 964-6700

7125 University Ct
Montgomery, AL 36117

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

333 Business Cir
Pelham, AL 35124
Phone (205) 255-3828

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

109 Holiday Ct
Ste D10
Franklin, TN 37067
Phone (615) 339-4642

103 Forrest Crossing Blvd
Ste 102
Franklin, TN 37064
Phone (615) 538-5736

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1033648761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHERITA LN",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357498033",
            "telephone_number": "256-337-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WAYNE RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063567",
            "telephone_number": "256-288-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIAM",
        "first_name": "JANET",
        "middle_name": "KIKILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-110124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.