Lisa Ann Merritt, D.C, N.M.D.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

200001236824 Issued in NC

Practice address

13655 Providence Rd
Weddington, NC 28104-9373

Phone

(704) 847-7200

Fax

(704) 845-9379

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Weddington Chiropractic Wellness Center

  • Nutrition Chiropractor
  • Weddington, NC
  • NPI 1245256841

  NC, Nutrition

  Medicare reassignment NPD Authorized official
• The Grenda Group LLC

  • Physical Therapist
  • Weddington, NC
  • NPI 1912343765
  NPD (past)

Specialty

Chiropractic

Education

Life Chiropractic College, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1366414450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 PROVIDENCE RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-847-7200",
            "fax_number": "704-845-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 PROVIDENCE RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-847-7200",
            "fax_number": "704-845-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C, N.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NC",
            "license": "200001236824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Maris
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• Regina Nole
• Matthew Page, PT
• Mansi Patel, PHARMD
• Rebecca J Titherington
• Richard M. Rotchstein,D.D.S. & Christopher W. Wasulko D.M.D.

• All providers in Weddington, NC
• Nutrition Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.