Organization Active NPI

Merryville Family Clinic, LLC

  • Family Nurse Practitioner
  • Merryville, LA
National Provider Identifier
1437109535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 032217APO4266 Issued in LA
Legal business name
MERRYVILLE FAMILY CLINIC, LLC
Practice address
915 N Bryan St
Merryville, LA 70653-3302
Phone
(337) 825-8600
Fax
(337) 825-8666
NPI assigned
May 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret Ruth Aubin, NURSE PRACTITIONERNPI 1275515363
Title
Owner/Family Nurse Practitioner
Phone
(337) 825-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN 032217APO4266 LA Primary

Addresses

Primary practice location

915 N Bryan St
Merryville, LA 70653-3302

Mailing address

915 N Bryan St
Merryville, LA 70653-3302
Phone (337) 825-8600

Other identifiers 1

IdentifierTypeStateIssuer
1446025MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437109535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N BRYAN ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533302",
            "telephone_number": "337-825-8600",
            "fax_number": "337-825-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N BRYAN ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533302",
            "telephone_number": "337-825-8600",
            "fax_number": "337-825-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYVILLE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUBIN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-825-8600",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN 032217APO4266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merryville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.