Individual provider Active NPI

Margaret Rose Mersereau, RN CDE

  • Diabetes Educator Registered Nurse
  • Clarence Center, NY
National Provider Identifier
1447436852
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
309910-1 Issued in NY
Practice address
9425 Dana CT
Clarence Center, NY 14032-9335
Phone
(716) 601-5891
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 309910-1 NY Primary

Addresses

Primary practice location

9425 Dana CT
Clarence Center, NY 14032-9335

Mailing address

9425 Dana CT
Clarence Center, NY 14032-9335
Phone (716) 601-5891

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
309910-1NYMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1447436852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 DANA CT",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329335",
            "telephone_number": "716-601-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 DANA CT",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329335",
            "telephone_number": "716-601-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSEREAU",
        "first_name": "MARGARET",
        "middle_name": "ROSE",
        "credential": "RN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "309910-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence Center, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.