Anne Cynthia Merveille, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

330354 Issued in NY

Practice address

95 Pine St
Port Jefferson Station, NY 11776-3146

Phone

(646) 409-7039

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1235968827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PINE ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763146",
            "telephone_number": "646-409-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PINE ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763146",
            "telephone_number": "646-409-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVEILLE",
        "first_name": "ANNE",
        "middle_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Michelle Menard
• Michael W Mendelson, M.D.
• Madison Elisabeth Mensinger, OTR
• Sue Mentis, D.O.
• Conan Merrick, L.M.T.
• Victoria Meyer
• Michael W. Mendelson, M.D., P.C.
• Tiffany Marie Michalec
• Maria Grazia Migliore, LMSW
• Manisha Mignon

• Licensed Practical Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.