Active NPI
Mersadies Landrum
- Assistant Behavior Analyst
- Rogers, AR
National Provider Identifier
1174960421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 1310 W Walnut St
Rogers, AR 72756-3316 - Phone
- (479) 802-4798
- NPI assigned
- May 28, 2013
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
1310 W Walnut St
Rogers, AR 72756-3316
Mailing address
1310 W Walnut St
Rogers, AR 72756-3316
Phone (479) 802-4798
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1174960421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563316",
"telephone_number": "479-802-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563316",
"telephone_number": "479-802-4798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "MERSADIES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.