Merrie J. Rheingans

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

TAP2862 Issued in AZ

Practice address

2175 N Alma School Rd
C-104
Chandler, AZ 85224-2878

Phone

(480) 298-9761

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Merrie J McCollum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1710173927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD",
            "address_2": "C-104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242878",
            "telephone_number": "480-298-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD",
            "address_2": "C-104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242878",
            "telephone_number": "480-298-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEINGANS",
        "first_name": "MERRIE",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "TAP2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRIE",
            "last_name": "MCCOLLUM",
            "middle_name": "J",
            "credential": "C-PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatric Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.