Kelly Marie Merrill

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

756382 Issued in NY

Practice address

75 Smith Road
Ridge, NY 11961

Phone

(914) 384-1065

NPI assigned

Aug 21, 2018

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

Other names 1

• Kelly Marie Merrill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1508346347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SMITH RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SMITH ROAD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "11961",
            "telephone_number": "914-384-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "756382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MERRILL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Malcolm
• Kimberly Elizabeth Matz, R.N.
• Kristen Mazza Cadena, OTR/L
• Christiana McPherson, LCSW
• James Megna, PT
• Erica Ann Messana, RN
• Angela Cicero Miller, R.N.
• Noel Ann Miller, MS OTR/L
• Ann Marie Morello, LMHC
• Brandy R Morrow

• Home Health Registered Nurse in Ridge, NY
• Providers in Ridge, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.