Active NPI
Kasey Barnum Merrey, MS
- Speech-Language Pathologist
- Gaithersburg, MD
National Provider Identifier
1265617989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06887
- Practice address
- 655 Watkins Mill Rd.
Kaiser Permanente Gaithersburg Medical Center
Gaithersburg, MD 20879-3301 - Phone
- (240) 632-4000
- Fax
- (813) 264-0768
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ4409 | FL | |
| Speech-Language Pathologist | 235Z00000X | 06887 | MD | Primary |
Addresses
Primary practice location
655 Watkins Mill Rd.
Kaiser Permanente Gaithersburg Medical Center
Gaithersburg, MD 20879-3301
Mailing address
2101 E. Jefferson Street
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06887 | MD | MD | Psychologist |
| SZ4409 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1265617989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E. JEFFERSON STREET",
"address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WATKINS MILL RD.",
"address_2": "KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793301",
"telephone_number": "240-632-4000",
"fax_number": "813-264-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERREY",
"first_name": "KASEY",
"middle_name": "BARNUM",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4409",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06887",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "655 Watkins Mill Rd.",
"address_2": "Kaiser Permanente Gaithersburg Medical Center",
"city": "Gaithersburg",
"state": "MD",
"country_code": "US",
"postal_code": "208793301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.