Individual provider Active NPI

Laura Merritt

  • Acute Care Nurse Practitioner
  • Selma, CA
National Provider Identifier
1881865152
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18453 Issued in CA
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

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Central Valley Urgent Care Medical Group Inc CurrentSince Oct 9, 2019 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.