Individual provider Active NPI

Mary Hannah Merriam, CCC-SLP

  • Speech-Language Pathologist
  • Waverly, IA
National Provider Identifier
1255067435
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
217 E Bremer Ave
Waverly, IA 50677-3435
Phone
(319) 352-1234
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

217 E Bremer Ave
Waverly, IA 50677-3435

Mailing address

311 2ND Ave SW
Waverly, IA 50677-3109

Other names 1

  • Mary Hannah Boisjolie Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nitherapy.com

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1255067435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 2ND AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773435",
            "telephone_number": "319-352-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIAM",
        "first_name": "MARY",
        "middle_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nitherapy.com",
            "affiliation": "N",
            "address_1": "217 E Bremer Ave",
            "city": "Waverly",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506773435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BOISJOLIE",
            "middle_name": "HANNAH",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.