Active NPI
Dawnell J Prescott, LPT
- Licensed Psychiatric Technician
- Norwalk, CA
National Provider Identifier
1710052774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- Practice address
- 12353 E Imperial
Norwalk, CA 90650 - Phone
- (562) 484-3385
- Fax
- (562) 484-0269
- NPI assigned
- Nov 22, 2006
- Last updated
- May 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT25905 | CA | |
| Licensed Psychiatric Technician | 167G00000X | Primary |
Addresses
Primary practice location
12353 E Imperial
Norwalk, CA 90650
Mailing address
12353 E Imperial
Norwalk, CA 90650
Phone (562) 484-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512013461 | Medicaid | CA |
Other names 1
- Mrs. Dawnell J Merrits
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT25905 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1710052774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12353 E IMPERIAL",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-484-3385",
"fax_number": "562-484-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12353 E IMPERIAL",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-484-3385",
"fax_number": "562-484-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "DAWNELL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT25905",
"primary": false
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512013461",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAWNELL",
"last_name": "MERRITS",
"middle_name": "J",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.