Active NPI
Christine A Merriman, M.A. CCC-SLP
- Speech-Language Pathologist
- Missoula, MT
National Provider Identifier
1295726826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 359
- Practice address
- 634 Eddy Ave
Missoula, MT 59812-1851 - Phone
- (406) 243-2439
- Fax
- (406) 243-4730
- NPI assigned
- Nov 2, 2005
- Last updated
- Jul 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 359 | MT | Primary |
Addresses
Primary practice location
634 Eddy Ave
Missoula, MT 59812-1851
Mailing address
413 Evans Ave
Missoula, MT 59801-5827
Phone (406) 531-9352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662510 | Other | MT | BCBSMT |
| 0535058 | Medicaid | MT |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295726826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 EVANS AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015827",
"telephone_number": "406-531-9352",
"fax_number": "406-243-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 EDDY AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598121851",
"telephone_number": "406-243-2439",
"fax_number": "406-243-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIMAN",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMT",
"identifier": "662510",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0535058",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.