Active NPI
Kathleen Marie Merritt, M.A.
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1053866327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA2745
- Practice address
- 2200 38TH Ave W # 14R-524
Bradenton, FL 34205-5017 - Phone
- (941) 518-3806
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP23697 | CA | |
| Speech-Language Pathologist | 235Z00000X | SA2745 | FL | Primary |
Addresses
Primary practice location
2200 38TH Ave W # 14R-524
Bradenton, FL 34205-5017
Mailing address
2200 38TH Ave W # 14R-524
Bradenton, FL 34205-5017
Phone (941) 518-3806
Other practice location 1
410 10th Ave W
Palmetto, FL 34221-5032
Phone (941) 722-3582
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP23697 | CA | MD | Speech-Language Pathologist |
| SA2745 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1053866327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 38TH AVE W # 14R-524",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055017",
"telephone_number": "941-518-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 38TH AVE W # 14R-524",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055017",
"telephone_number": "941-518-3806"
}
],
"practiceLocations": [
{
"address_1": "410 10th Ave W",
"address_purpose": "LOCATION",
"city": "Palmetto",
"state": "FL",
"postal_code": "342215032",
"country_code": "US",
"telephone_number": "941-722-3582",
"fax_number": "941-729-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRITT",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP23697",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA2745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.