Mary Alice Meredith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.604651 Issued in OH

Practice address

345 Royal Oak Blvd
Cleveland, OH 44143-1709

Phone

(216) 253-0151

NPI assigned

Mar 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1801119631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ROYAL OAK BLVD STE 10",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431709",
            "telephone_number": "216-253-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ROYAL OAK BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441431709",
            "telephone_number": "216-253-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4688 Walford Rd",
            "address_2": "suite 10",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441287103",
            "country_code": "US",
            "telephone_number": "216-342-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.132207-M-IV",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.604651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Angels Home Care, LLC
• Mercy Angels Transportation LLC
• Mercy Home Healthcare Services LLC
• Mercy Medical Staffing, LLC
• Kathleen Merdes, MSPT
• Shelby Meredith
• Tiquashia Dejuan Meredith
• Meagan R. Merendino, APRN
• Shannon Merget, PA-C
• Jessica Merhar, PT, DPT

• Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.