Active NPI
Brian Lee Merica
- Rehabilitation Practitioner
- Reno, NV
National Provider Identifier
1417266370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2725 Yori Ave
Reno, NV 89502-4325 - Phone
- (775) 329-0312
- NPI assigned
- Sep 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
2725 Yori Ave
Reno, NV 89502-4325
Mailing address
1985 Black Sand Dr
Reno, NV 89521-3111
Phone (775) 830-3492
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1417266370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 BLACK SAND DR",
"city": "RENO",
"state": "NV",
"postal_code": "895213111",
"telephone_number": "775-830-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 YORI AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895024325",
"telephone_number": "775-329-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERICA",
"first_name": "BRIAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-27",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.