Individual provider Active NPI

Joanne Merard, MS, OTR/L

  • Occupational Therapist
  • Knightdale, NC
National Provider Identifier
1306175393
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7339 Issued in NC
Practice address
1523 Sunday Silence Dr
Knightdale, NC 27545-7488
Phone
(845) 893-3106
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7339 NC Primary

Addresses

Primary practice location

1523 Sunday Silence Dr
Knightdale, NC 27545-7488

Mailing address

1523 Sunday Silence Dr
Knightdale, NC 27545-7488
Phone (845) 893-3106

Other identifiers 1

IdentifierTypeStateIssuer
7339OtherNCOCCUPATIONAL THERAPY LICENSE NUMBER

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

LicenseStateTypeSpecialty
7339NCMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1306175393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 SUNDAY SILENCE DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457488",
            "telephone_number": "845-893-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SUNDAY SILENCE DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457488",
            "telephone_number": "845-893-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERARD",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE NUMBER",
            "identifier": "7339",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.