Active NPI
Deanna Lynn Mericle, ARNP
- Advanced Practice Midwife
- Live Oak, FL
National Provider Identifier
1205903952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP1849412
- Practice address
- 915 Nobles Ferry Rd
Live Oak, FL 32064-8463 - Phone
- (386) 362-2708
- Fax
- (386) 362-6301
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | ARNP1849412 | FL | Primary |
Addresses
Primary practice location
915 Nobles Ferry Rd
Live Oak, FL 32064-8463
Mailing address
PO Box 6030
Live Oak, FL 32064-6030
Phone (386) 362-2708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301886500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1849412 | FL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1205903952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6030",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320646030",
"telephone_number": "386-362-2708",
"fax_number": "386-362-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NOBLES FERRY RD",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320648463",
"telephone_number": "386-362-2708",
"fax_number": "386-362-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERICLE",
"first_name": "DEANNA",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP1849412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301886500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.