Active NPI
Laura Merritt
- Acute Care Nurse Practitioner
- Selma, CA
National Provider Identifier
1881865152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 18453
- Practice address
- 2511 Logan St
2511 Logan Street
Selma, CA 93662-3012 - Phone
- (559) 896-2624
- Fax
- (559) 896-3235
- NPI assigned
- Mar 14, 2008
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 18453 | CA | Primary |
Addresses
Primary practice location
2511 Logan St
2511 Logan Street
Selma, CA 93662-3012
Mailing address
1225 M St
Jail Medical Services, 2ND Floor
Fresno, CA 93721-1805
Phone (559) 442-2404
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Urgent Care Medical Group Inc | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Past | Accepting new patients | |
| County of Fresno | Past | Accepting new patients | |
| Stanley Y. Louie DO, Inc | Past | Accepting new patients | |
| County of Fresno | Past | Accepting new patients |
Locations
4177 W Shaw Ave
Ste 107
Fresno, CA 93722
Phone (559) 225-4706
199 W Shields Ave
Fresno, CA 93705
Phone (559) 225-4706
Interoperability endpoints
- https://api.platform.athenahealth.com/11784/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fresno, CA
- NPI 1942294327
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
-
- Clinic/Center
- Fresno, CA
- NPI 1346371804
-
- Clinic/Center
- Fresno, CA
- NPI 1821129537
-
- Family Medicine Physician
- Selma, CA
- NPI 1942200746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1881865152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 M ST",
"address_2": "JAIL MEDICAL SERVICES, 2ND FLOOR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-442-2404",
"fax_number": "559-442-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 LOGAN ST",
"address_2": "2511 LOGAN STREET",
"city": "SELMA",
"state": "CA",
"postal_code": "936623012",
"telephone_number": "559-896-2624",
"fax_number": "559-896-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "LAURA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "18453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.