Individual provider Active NPI

Theresa P. Merrill, R.N.

  • Community Health Registered Nurse
  • Venice, FL
National Provider Identifier
1194957068
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN 9171853 Issued in FL
Practice address
7820 Tamiami TRL S Ste B
Venice, FL 34293-5120
Phone
(941) 861-3300
Fax
(941) 861-2719
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WC1500X RN 9171853 FL Primary

Addresses

Primary practice location

7820 Tamiami TRL S Ste B
Venice, FL 34293-5120

Mailing address

PO Box 2658
Sarasota, FL 34230-2658
Phone (941) 861-3300

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 9171853FLMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1194957068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2658",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342302658",
            "telephone_number": "941-861-3300",
            "fax_number": "941-861-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 TAMIAMI TRL S STE B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935120",
            "telephone_number": "941-861-3300",
            "fax_number": "941-861-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "THERESA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN 9171853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.