Individual provider Active NPI

David Todd Merriman, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewis Center, OH
National Provider Identifier
1619498680
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.021109 Issued in OH
Practice address
776 Peachblow Rd Unit a
Lewis Center, OH 43035-9101
Phone
(614) 398-3559
Fax
(614) 918-8545
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.021109 OH Primary

Addresses

Primary practice location

776 Peachblow Rd Unit a
Lewis Center, OH 43035-9101

Mailing address

776 Peachblow Rd Unit a
Lewis Center, OH 43035-9101
Phone (614) 398-3559

Other practice location 1

3433 Agler Rd Ste 2000
Columbus, OH 43219-3397
Phone (614) 600-2708

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)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ardent Psychiatry LLC Psychiatric/Mental Health CurrentSince Aug 2, 2020 Accepting new patients

Locations

96 W William St
Delaware, OH 43015
Phone (614) 980-5984

776 Peachblow Rd
#A
Lewis Center, OH 43035
Phone (614) 398-3559

Interoperability endpoints

  • Direct secure messaging: ardentpsychiatryllc.davidmerriman@140422.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1619498680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 PEACHBLOW RD UNIT A",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359101",
            "telephone_number": "614-398-3559",
            "fax_number": "614-918-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 PEACHBLOW RD UNIT A",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359101",
            "telephone_number": "614-398-3559",
            "fax_number": "614-918-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3433 Agler Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432193397",
            "country_code": "US",
            "telephone_number": "614-600-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.021109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.