Mercedes Marie Marrero

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5753-27 Issued in WI

Practice address

1308 Lincoln St
Kewaunee, WI 54216-1606

Phone

(920) 388-4111

NPI assigned

Nov 18, 2021

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

Practice roles

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.

• RG-Rhinelander, Inc.

  • Skilled Nursing Facility
  • Rhinelander, WI
  • NPI 1407164312
  NPD (past)

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1265199863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161606",
            "telephone_number": "920-388-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "MERCEDES",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5753-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn R Leonardson, BS
• Mark A Letter, DDS
• Beth Mackintosh
• Lauren E Manston, MASTER DEGREE
• Mark a Letter DDS SC
• Stephen Lee McClellan, M.D.
• Sarah McKnight, M.S.
• Melissa Ann Melnarik, LPN
• Lissa Anne Miller
• Bonnie S Mueller-Waigand, PA

• Occupational Therapy Assistant in Kewaunee, WI
• Providers in Kewaunee, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.