Individual provider Active NPI

Lynne E Merriam, MSN - ARNP-C

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1154554491
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1014602 Issued in FL
Practice address
2147 NE Coachman Road
Clearwater, FL 33765-2616
Phone
(727) 466-0078
Fax
(727) 461-7793
NPI assigned
Sep 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1014602 FL Primary

Addresses

Primary practice location

2147 NE Coachman Road
Clearwater, FL 33765-2616

Mailing address

2147 NE Coachman Road
Clearwater, FL 33765-2616
Phone (727) 466-0078

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 Science - Nursing

State licenses

LicenseStateTypeSpecialty
1014602FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Research of West Florida, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1154554491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 NE COACHMAN ROAD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652616",
            "telephone_number": "727-466-0078",
            "fax_number": "727-461-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 NE COACHMAN ROAD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652616",
            "telephone_number": "727-466-0078",
            "fax_number": "727-461-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIAM",
        "first_name": "LYNNE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSN - ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1014602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

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