Individual provider Active NPI

Merita K Jackson Hinds, OMD

  • Acupuncturist
  • Havertown, PA
National Provider Identifier
1578293296
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001241 Issued in PA
Practice address
547 Brookline Blvd
Havertown, PA 19083-4005
Phone
(808) 232-5578
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 212 HI
Acupuncturist 171100000X 006159-01 NY
Acupuncturist 171100000X 2112 NC
Acupuncturist 171100000X AK001241 PA Primary

Addresses

Primary practice location

547 Brookline Blvd
Havertown, PA 19083-4005

Mailing address

547 Brookline Blvd
Havertown, PA 19083-4005
Phone (808) 232-5578

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

State licenses

LicenseStateTypeSpecialty
212HIMDAcupuncturist
006159-01NYMDAcupuncturist
AK001241PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1578293296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BROOKLINE BLVD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834005",
            "telephone_number": "808-232-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 BROOKLINE BLVD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834005",
            "telephone_number": "808-232-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON HINDS",
        "first_name": "MERITA",
        "middle_name": "K",
        "credential": "OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "212",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006159-01",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "2112",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.