Individual provider Active NPI

Sarah Elizabeth Merulli, CRNP

  • Pediatric Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1134728850
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5015592 Issued in NC
Practice address
One Place Onslow Child Advocacy Center
900 Dennis Rd
Jacksonville, NC 28546
Phone
(910) 333-0653
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

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.

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5015592NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Valley Pediatrics & Adolescent Medicine PastSince Oct 1, 2020 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP022283 PA
Pediatric Nurse Practitioner 363LP0200X 5015592 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

One Place Onslow Child Advocacy Center
900 Dennis Rd
Jacksonville, NC 28546

Mailing address

One Place Onslow Child Advocacy Center
900 Dennis Rd
Jacksonville, NC 28546
Phone (910) 333-0653

Other names 1

NPPES NPI Registry
  • Sarah Elizabeth Becker Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2023.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1134728850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE PLACE ONSLOW CHILD ADVOCACY CENTER",
            "address_2": "900 DENNIS RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-333-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE PLACE ONSLOW CHILD ADVOCACY CENTER",
            "address_2": "900 DENNIS RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-333-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERULLI",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP022283",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5015592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BECKER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.