Active NPI
Maeli Merrill, LMT, CFNS
- Massage Therapist
- Kaysville, UT
National Provider Identifier
1174854392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 71622845-4701
- Practice address
- 302N. Main St.
Kaysville, UT 84037 - Phone
- (801) 444-3367
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 71622845-4701 | UT | Primary |
Addresses
Primary practice location
302N. Main St.
Kaysville, UT 84037
Mailing address
302 N Main St
Kaysville, UT 84037-6766
Phone (801) 444-3367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-1597956 | Medicaid | UT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71622845-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1174854392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N MAIN ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840376766",
"telephone_number": "801-444-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302N. MAIN ST.",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "84037",
"telephone_number": "801-444-3367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "MAELI",
"name_prefix": "Mrs.",
"credential": "LMT, CFNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "71622845-4701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61-1597956",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.