Active NPI
Lisa Merck, APN CNM
- Midwife
- Crested Butte, CO
National Provider Identifier
1336207083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN123427
- Practice address
- 419 6TH St Suite 202
Crested Butte, CO 81224 - Phone
- (970) 349-0100
- Fax
- (647) 714-8238
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | RN123427 | CO | Primary |
Addresses
Primary practice location
419 6TH St Suite 202
Crested Butte, CO 81224
Mailing address
PO Box 1273
Crested Butte, CO 81224-1273
Phone (970) 349-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRT67032 | Other | CO | BCBS |
| 840446259091 | Other | CO | RMHMO |
| 72057840 | Medicaid | CO |
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN123427 | CO | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1336207083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1273",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "812241273",
"telephone_number": "970-349-0100",
"fax_number": "647-714-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 6TH ST SUITE 202",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "81224",
"telephone_number": "970-349-0100",
"fax_number": "647-714-8238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCK",
"first_name": "LISA",
"credential": "APN CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CO",
"license": "RN123427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "TRT67032",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RMHMO",
"identifier": "840446259091",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72057840",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crested Butte, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.