Active NPI
Marilyn Jo Herriott, LPN
- Licensed Practical Nurse
- Delta, OH
National Provider Identifier
1205038320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN 042114 MEDS
- Practice address
- 7553 Country Road
#4
Delta, OH 43515 - Phone
- (419) 826-6500
- Fax
- (419) 826-6500
- NPI assigned
- Jun 1, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 042114 MEDS | OH | Primary |
Addresses
Primary practice location
7553 Country Road
#4
Delta, OH 43515
Mailing address
7553 Country Road
#4
Delta, OH 43515
Phone (419) 826-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2388812 | Medicaid | OH |
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 |
|---|---|---|---|
| PN 042114 MEDS | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1205038320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7553 COUNTRY ROAD",
"address_2": "#4",
"city": "DELTA",
"state": "OH",
"postal_code": "43515",
"telephone_number": "419-826-6500",
"fax_number": "419-826-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7553 COUNTRY ROAD",
"address_2": "#4",
"city": "DELTA",
"state": "OH",
"postal_code": "43515",
"telephone_number": "419-826-6500",
"fax_number": "419-826-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIOTT",
"first_name": "MARILYN",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN 042114 MEDS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2388812",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.