Individual provider Active NPI

Evelyn Nadine Merriett, APRN-C

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1629197660
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1594 APNP Issued in WI
Practice address
8532 W Capitol Dr Ste 201
# 201
Milwaukee, WI 53222-1850
Phone
(414) 393-4002
Fax
(414) 393-4014
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1594 WI
Family Nurse Practitioner 363LF0000X 1594 APNP WI Primary

Addresses

Primary practice location

8532 W Capitol Dr Ste 201
# 201
Milwaukee, WI 53222-1850

Mailing address

8532 W Capitol Dr Ste 201
# 201 Pulmedix Asthma Care Center & PFT Lab.
Milwaukee, WI 53222-1850
Phone (414) 393-4002

Other identifiers 2

IdentifierTypeStateIssuer
0339855OtherWINURSE PRACTITIONER
65810-30OtherWIREGISTERED NURSE

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1594WIMDOccupational Therapist
1594 APNPWIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1629197660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR STE 201",
            "address_2": "# 201 PULMEDIX ASTHMA CARE CENTER & PFT LAB.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221850",
            "telephone_number": "414-393-4002",
            "fax_number": "414-393-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR STE 201",
            "address_2": "# 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221850",
            "telephone_number": "414-393-4002",
            "fax_number": "414-393-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIETT",
        "first_name": "EVELYN",
        "middle_name": "NADINE",
        "name_prefix": "Ms.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1594 APNP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "0339855",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "65810-30",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.