Katelyn Maria Mercado, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2330722 Issued in MA

Practice address

15 Tsienneto Rd
Derry, NH 03038-1557

Phone

(603) 552-3309

Fax

(603) 965-4177

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diabetes and Lifestyle Management, LLC

  • Family Nurse Practitioner
  • Derry, NH
  • NPI 1649649021
  Medicare reassignment NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1346948379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381557",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381557",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Thorndike St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018523485",
            "country_code": "US",
            "telephone_number": "978-888-1257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "KATELYN",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2330722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Daniel Mejia, DMD
• Nikhil Meka
• Hadia Memon, BDS
• Mental Health Center for Southern New Hampshire Inc (CLM Center for Life Management)
• Marsha Menter, LCMHC
• Sabrina Mercurio
• Elisa J Mercuro, DO
• Merrimack Valley Sonographic Services,Inc.
• Alexandra Merritt, CSFA
• Michael R Dion DMD Fagd

• Family Nurse Practitioner in Derry, NH
• Providers in Derry, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.