Individual provider Active NPI

Katie Marie Meyer, D.O.

  • Pediatrics Physician
  • Merced, CA
National Provider Identifier
1235596107
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A14636 Issued in CA
Practice address
315 Mercy Avenue Suite 400
DHMG - Merced
Merced, CA 95340
Phone
(209) 564-3700
Fax
(209) 564-3725
NPI assigned
Jan 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X UO3516 FL
Pediatrics Physician 208000000X 20A14636 CA Primary

Addresses

Primary practice location

315 Mercy Avenue Suite 400
DHMG - Merced
Merced, CA 95340

Mailing address

315 Mercy Avenue Suite 400
DHMG - Merced
Merced, CA 95340
Phone (209) 564-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000097 MS Practitioner - Pediatric Medicine 9133413404 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A14636CAMDPediatrics Physician
UO3516FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medcial Center, Inc. CurrentSince Mar 24, 2021 Accepting new patients
Pontotoc Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Inc CurrentSince Mar 24, 2021 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Apr 3, 2024 Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

202 Main St
Ecru, MS 38841
Phone (662) 489-4345

1573 Medical Park Cir
Tupelo, MS 38801
Phone (662) 419-2313

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: katiemeyer@nmhs.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1235596107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MERCY AVENUE SUITE 400",
            "address_2": "DHMG - MERCED",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-564-3700",
            "fax_number": "209-564-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MERCY AVENUE SUITE 400",
            "address_2": "DHMG - MERCED",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-564-3700",
            "fax_number": "209-564-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "UO3516",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A14636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.