Individual provider Active NPI

Warren Lane Merriett Jr.

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1063651925
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R860406 Issued in MS
Practice address
105 Northgate Rd
Suite 2
Natchez, MS 39120-9162
Phone
(601) 442-7141
Fax
(601) 442-7343
NPI assigned
Feb 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R860406 MS Primary

Addresses

Primary practice location

105 Northgate Rd
Suite 2
Natchez, MS 39120-9162

Mailing address

105 Northgate Rd
Suite 2
Natchez, MS 39120-9162
Phone (601) 442-7141

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R860406MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zwound Care Past Accepting new patients
Natchez After Hours Clinic, P.L.L.C. Past Accepting new patients

Organizations & group practices 2

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": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1063651925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NORTHGATE RD",
            "address_2": "SUITE 2",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209162",
            "telephone_number": "601-442-7141",
            "fax_number": "601-442-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHGATE RD",
            "address_2": "SUITE 2",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209162",
            "telephone_number": "601-442-7141",
            "fax_number": "601-442-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIETT",
        "first_name": "WARREN",
        "middle_name": "LANE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.