Kelly Rene' Merritt, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1003402 Issued in TX

Practice address

3435 NE Loop 286
Paris, TX 75460-5002

Phone

(903) 737-0000

NPI assigned

Feb 28, 2020

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Preston Family Medical Clinic

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1811102981
  NPD

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1093349987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600411",
            "telephone_number": "903-783-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605002",
            "telephone_number": "903-737-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "KELLY",
        "middle_name": "RENE'",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1003402",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Consultative Services, LLC
• Med Group Dba (OnCall Home Health & Rehab Services)
• Medprime Health Services LLC (Medprime Pharmacy)
• Abiy Mekonnen, PHARMD
• Melissa Stansell OD PA (Texas Optical)
• Michael D. Brown, Jr., D.O., PA
• Michael S. Lenertz, DPM, PA
• Christopher Dewayne Michael
• Haley Leann Michael, COTA
• Tyler Dennis Michael, PTA

• Family Nurse Practitioner in Paris, TX
• Providers in Paris, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.