Karina A Merlos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6836 Isaac'S Orchard Rd
Springdale, AR 72762

Phone

(479) 927-4100

Fax

(479) 927-4101

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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.

• Arkansas Support Network, Inc

  • Case Management Agency
  • Springdale, AR
  • NPI 1720601412
  NPD
• Arkansas Support Network

  • Developmentally Disabled Services Day Training Agency
  • Springdale, AR
  • NPI 1508190273
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2020.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1871196147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 ISAAC'S ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-927-4100",
            "fax_number": "479-927-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 ISAAC'S ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-927-4100",
            "fax_number": "479-927-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLOS",
        "first_name": "KARINA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "237273795",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237291706",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Danielle Mendoza, APRN
• Astryd Menendez, MD
• Robert Duane Mercer, LPN
• Mercy Health Northwest Arkansas Communities
• Mercy Northwest Arkansas Ambulatory Services LLC
• Victoria Lynn Merrick
• Megan Renee Merrigan, PNP
• Jace Merritt, DPT
• Metheny Family Care Clinic Corp
• Leann W Metheny, DNP, FNP-BC, NP-C

• All providers in Springdale, AR
• Behavior Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.