Individual provider Active NPI

Anshirley Kaylee Merricks, COTA/L

  • Occupational Therapy Assistant
  • Staunton, VA
National Provider Identifier
1740638832
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131001483 Issued in VA
Practice address
1105 Greenville Ave
Staunton, VA 24401-5010
Phone
(540) 885-7774
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131001483 VA Primary

Addresses

Primary practice location

1105 Greenville Ave
Staunton, VA 24401-5010

Mailing address

1105 Greenville Ave
Staunton, VA 24401-5010
Phone (540) 885-7774

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
0131001483VAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1740638832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GREENVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015010",
            "telephone_number": "540-885-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 GREENVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015010",
            "telephone_number": "540-885-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICKS",
        "first_name": "ANSHIRLEY",
        "middle_name": "KAYLEE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.