Active NPI
Kara Joy Merrell, FNP
- Family Nurse Practitioner
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 234916
- Practice address
- 155 Calle Portal Ste 300
Sierra Vista, AZ 85635-2900 - Phone
- (520) 459-3011
- Fax
- (520) 364-4261
- NPI assigned
- Jan 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 234916 | AZ | Primary |
Addresses
Primary practice location
155 Calle Portal Ste 300
Sierra Vista, AZ 85635-2900
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-6852
Other practice location 1
4041 S McClintock Dr
Tempe, AZ 85282-5879
Phone (520) 233-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc. | Current | Accepting new patients | |
| Adobe Provider Group | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Tempe, AZ
- NPI 1659850279
-
- Federally Qualified Health Center (FQHC)
- Douglas, AZ
- NPI 1174820898
-
- Federally Qualified Health Center (FQHC)
- Douglas, AZ
- NPI 1942241443
-
- Federally Qualified Health Center (FQHC)
- Willcox, AZ
- NPI 1285488866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1811527708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071920",
"telephone_number": "520-364-6852",
"fax_number": "520-364-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL STE 300",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352900",
"telephone_number": "520-459-3011",
"fax_number": "520-364-4261"
}
],
"practiceLocations": [
{
"address_1": "4041 S McClintock Dr",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852825879",
"country_code": "US",
"telephone_number": "520-233-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRELL",
"first_name": "KARA",
"middle_name": "JOY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "234916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.