Kelli Ann Mercado, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3060 Issued in AZ

Practice address

2700 N 140TH Ave Ste 107
Goodyear, AZ 85395-2439

Phone

(623) 535-8770

Fax

(623) 535-8771

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelli Ann Dipatrizio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1255426870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N 140TH AVE STE 107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952439",
            "telephone_number": "623-535-8770",
            "fax_number": "623-535-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N 140TH AVE STE 107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952439",
            "telephone_number": "623-535-8770",
            "fax_number": "623-535-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14420 W Meeker Blvd # A-202",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755286",
            "country_code": "US",
            "telephone_number": "623-535-8770",
            "fax_number": "623-535-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 W University Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852813269",
            "country_code": "US",
            "telephone_number": "480-493-3444",
            "fax_number": "480-867-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "KELLI ANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3060",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI ANN",
            "last_name": "DIPATRIZIO",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Meiner, LAC
• Carla Melendez, PA
• Cheryl Renee Melomet, RN
• Elena Mendez, FNP-C
• Tushar Menon, MD
• Jenny Mercer, LAC
• Erica Merriweather
• Metro Infectious Disease Consultants, LLC
• Shelby Carrera Meyer
• Michael Davis DC LLC

• Physician Assistant in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.