Active NPI
Merle Laurel
- Registered Nurse
- San Jose, CA
National Provider Identifier
1851707665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 337501
- Practice address
- 3018 King Est
San Jose, CA 95135-1362 - Phone
- (408) 921-9355
- Fax
- (408) 270-2094
- NPI assigned
- Jul 2, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 337501 | CA | Primary |
Addresses
Primary practice location
3018 King Est
San Jose, CA 95135-1362
Mailing address
3018 King Est
San Jose, CA 95135-1362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMLRN | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 337501 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1851707665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 KING EST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 KING EST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351362",
"telephone_number": "408-921-9355",
"fax_number": "408-270-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUREL",
"first_name": "MERLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "337501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MMLRN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.