Melanie D Merritt, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00051869 Issued in WA

Practice address

9474 Lathrop Industrial Dr SW
Tumwater, WA 98503

Phone

(360) 583-3340

Fax

(360) 322-3804

NPI assigned

May 15, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope and Healing Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tumwater, WA
  • NPI 1376336974
  NPD
• Hope and Healing Clinic LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tumwater, WA
  • NPI 1669258133
  NPD

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1447009113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803A 5TH CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037904",
            "telephone_number": "360-480-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9474 LATHROP INDUSTRIAL DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-583-3340",
            "fax_number": "360-322-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "MELANIE",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00051869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Kirk McLeod
• Lisa McMillian
• Alisha Lorraine Mead, LMP
• Meditelecare of Washington PLLC
• Christopher Dalton Merchant, DDS
• Terence P Mertens, OTR/L
• Metamorphic Massage & Wellness Inc
• Merri Caitlin Metcalfe, RDN, CSSD
• Metta Counselling and Wellness PLLC
• Ebony L Middleton

• Licensed Practical Nurse in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.