Active NPI
Louise Lillian Heerens Merkel, SLP
- Speech-Language Pathologist
- Winslow, AZ
National Provider Identifier
1356499883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1480
- Practice address
- 800 N Apache Ave
Winslow, AZ 86047-3819 - Phone
- (928) 288-8108
- Fax
- (928) 288-8295
- NPI assigned
- Jan 8, 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 | 1480 | AZ | Primary |
Addresses
Primary practice location
800 N Apache Ave
Winslow, AZ 86047-3819
Mailing address
6887 N Elk Tank Rd
Flagstaff, AZ 86001-7713
Phone (928) 213-9169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 696726 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1480 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Unified School District No. 1 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Winslow, AZ
- NPI 1770643785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356499883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6887 N ELK TANK RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017713",
"telephone_number": "928-213-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N APACHE AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860473819",
"telephone_number": "928-288-8108",
"fax_number": "928-288-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKEL",
"first_name": "LOUISE",
"middle_name": "LILLIAN HEERENS",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "1480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "696726",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winslow, AZ
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.