Active NPI
Meribeth Hart
- Family Nurse Practitioner
- Santa Monica, CA
National Provider Identifier
1275938367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21290
- Practice address
- 2211 Michigan Avenue
Santa Monica, CA 90404-3905 - Phone
- (424) 259-8085
- Fax
- (424) 259-8066
- NPI assigned
- Oct 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21290 | CA | Primary |
Addresses
Primary practice location
2211 Michigan Avenue
Santa Monica, CA 90404-3905
Mailing address
505 W 5TH St Apt 212
Long Beach, CA 90802-7327
Phone (424) 259-8085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21290 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414713600000",
"number": "1275938367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W 5TH ST APT 212",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908027327",
"telephone_number": "424-259-8085",
"fax_number": "424-259-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MICHIGAN AVENUE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043905",
"telephone_number": "424-259-8085",
"fax_number": "424-259-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "MERIBETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-31",
"last_updated": "2014-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.