Individual provider Active NPI

Laurie Jean Mercier, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Kennewick, WA
National Provider Identifier
1174549505
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD00037532 Issued in WA
Practice address
3180 W Clearwater Ave Ste G
Kennewick, WA 99336-2765
Phone
(425) 754-9015
Fax
(208) 597-7033
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD00037532 WA Primary

Addresses

Primary practice location

3180 W Clearwater Ave Ste G
Kennewick, WA 99336-2765

Mailing address

306 N Barker Road
PO Box 58
Spokane Valley, WA 99016
Phone (425) 754-9015

Other practice location 1

304 Birch Banks Rd
Sagle, ID 83860-9261
Phone (425) 754-9015

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1174549505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N BARKER ROAD",
            "address_2": "PO BOX 58",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99016",
            "telephone_number": "425-754-9015",
            "fax_number": "206-428-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 W CLEARWATER AVE STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362765",
            "telephone_number": "425-754-9015",
            "fax_number": "208-597-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Birch Banks Rd",
            "address_purpose": "LOCATION",
            "city": "Sagle",
            "state": "ID",
            "postal_code": "838609261",
            "country_code": "US",
            "telephone_number": "425-754-9015",
            "fax_number": "208-597-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCIER",
        "first_name": "LAURIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00037532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.