Individual provider Active NPI

Linda Anne Merrel, CCC-SLP

  • Speech-Language Pathologist
  • Wilkes Barre, PA
National Provider Identifier
1801912472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL-004-026-L Issued in PA
Practice address
440 N River St
Wilkes Barre, PA 18702-2631
Phone
(570) 825-5611
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL-004-026-L PA Primary

Addresses

Primary practice location

440 N River St
Wilkes Barre, PA 18702-2631

Mailing address

2899 Blytheburn Rd
Mountain Top, PA 18707-9257
Phone (570) 868-5821

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
SL-004-026-LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801912472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 BLYTHEBURN RD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079257",
            "telephone_number": "570-868-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022631",
            "telephone_number": "570-825-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERREL",
        "first_name": "LINDA",
        "middle_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL-004-026-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.