Active NPI
Brittany Lee Mericle, MS, RD, LD, CNSC
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1295374023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86064511
- Practice address
- 3015 N Ballas Rd
Saint Louis, MO 63131-2329 - Phone
- (314) 996-5566
- NPI assigned
- Dec 26, 2019
- 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 | 86064511 | MO | Primary |
Addresses
Primary practice location
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Mailing address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86064511 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1295374023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329",
"telephone_number": "314-996-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERICLE",
"first_name": "BRITTANY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "86064511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.