Individual provider Active NPI

Darlene Maxfield Merrill, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1255538146
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
306986 Issued in CA
Practice address
9700 El Camino Real
Ste. 1200 West Tower
Atascadero, CA 93422-5569
Phone
(805) 466-1330
Fax
(805) 466-1654
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 306986 CA Primary

Addresses

Primary practice location

9700 El Camino Real
Ste. 1200 West Tower
Atascadero, CA 93422-5569

Mailing address

2075 Alturas Rd
Atascadero, CA 93422-1102
Phone (805) 462-9190

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1255538146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 ALTURAS RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221102",
            "telephone_number": "805-462-9190",
            "fax_number": "805-462-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL",
            "address_2": "STE. 1200 WEST TOWER",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225569",
            "telephone_number": "805-466-1330",
            "fax_number": "805-466-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "DARLENE",
        "middle_name": "MAXFIELD",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "306986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.