Individual provider Active NPI

Merrily Mount, A.R.N.P.

  • Family Nurse Practitioner
  • Quilcene, WA
National Provider Identifier
1831139518
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30000284 Issued in WA
Practice address
294843 Hwy 101
Quilcene, WA 98376
Phone
(360) 765-3111
Fax
(360) 765-3811
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30000284 WA Primary

Addresses

Primary practice location

294843 Hwy 101
Quilcene, WA 98376

Mailing address

294843 Hwy 101
Quilcene, WA 98376
Phone (360) 765-3111

Other identifiers 1

IdentifierTypeStateIssuer
9615204MedicaidWA

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1831139518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294843 HWY 101",
            "city": "QUILCENE",
            "state": "WA",
            "postal_code": "98376",
            "telephone_number": "360-765-3111",
            "fax_number": "360-765-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294843 HWY 101",
            "city": "QUILCENE",
            "state": "WA",
            "postal_code": "98376",
            "telephone_number": "360-765-3111",
            "fax_number": "360-765-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "MERRILY",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30000284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9615204",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quilcene, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.