Active NPI
Theresa P. Merrill, R.N.
- Community Health Registered Nurse
- Venice, FL
National Provider Identifier
1194957068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN 9171853
- 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
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9171853 | FL | MD | Community 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.