Active NPI
Lisa Marie Merrill, M.S.,R.D.
- Registered Dietitian
- Trenton, MI
National Provider Identifier
1275600397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 804989
- Practice address
- 3939 Van Horn Rd
Trenton, MI 48183-4013 - Phone
- (734) 502-8264
- Fax
- (877) 287-7216
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 804989 | MI | Primary |
Addresses
Primary practice location
3939 Van Horn Rd
Trenton, MI 48183-4013
Mailing address
3341 22ND St
Wyandotte, MI 48192-6012
Phone (734) 502-8264
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 |
|---|---|---|---|
| 804989 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Boston Chiropractic Life Center, Corporation | Past | Accepting new patients | |
| Siegel Chiropractic Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Tecumseh, MI
- NPI 1811196272
-
- Chiropractor
- Woodhaven, MI
- NPI 1457491524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1275600397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 22ND ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481926012",
"telephone_number": "734-502-8264",
"fax_number": "734-362-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 VAN HORN RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481834013",
"telephone_number": "734-502-8264",
"fax_number": "877-287-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S.,R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "804989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.