Miriam Vanmersbergen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6315 Issued in TN

Practice address

4055 N Park Loop
Memphis, TN 38152-8011

Phone

(901) 678-2009

Fax

(901) 678-5497

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miriam Van Mersbergen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1053353839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 POPLAR AVE BLDG 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054607",
            "telephone_number": "901-287-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 N PARK LOOP",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381528011",
            "telephone_number": "901-678-2009",
            "fax_number": "901-678-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMERSBERGEN",
        "first_name": "MIRIAM",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "VAN MERSBERGEN",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ariana Fotouhi Vandillen, MD
• Michael Benjamin Vandillen, MD
• Erik Louis Vanfossen, DO
• Vanguard of Memphis, LLC (Poplar Point Health and Rehabilitation)
• Lisa Vanhouwelingen, M.D.
• Beverly Ann Vann, LASW
• Kimberly Nicole Vann, FNP-BC
• Kevin Harold Vantrees, RPA, R.T. (R)(MR)(CT
• Audrey B.R. Vanwylen, M.D.
• Rebecca Vanzant, M.D.

• Speech-Language Pathologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.