Active NPI
Lisa Merryman
- Hearing Instrument Specialist
- Spencer, IA
National Provider Identifier
1558762179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 001070
- Practice address
- 1723 Highway Blvd
Suite 2
Spencer, IA 51301-2208 - Phone
- (712) 264-0402
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 001070 | IA | Primary |
Addresses
Primary practice location
1723 Highway Blvd
Suite 2
Spencer, IA 51301-2208
Mailing address
4524 Deer Shadow TRL
Sioux City, IA 51106-9728
Phone (712) 454-0001
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": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1558762179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4524 DEER SHADOW TRL",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511069728",
"telephone_number": "712-454-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 HIGHWAY BLVD",
"address_2": "SUITE 2",
"city": "SPENCER",
"state": "IA",
"postal_code": "513012208",
"telephone_number": "712-264-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRYMAN",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IA",
"license": "001070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.