Dr. Carolyn Merritt, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1247 Issued in VI

Legal business name

DR. CAROLYN MERRITT, PLLC

Practice address

254-A Estate Glynn # 3 & 4
RR 1 6198
Kingshill, VI 00850-6198

Phone

(340) 778-7546

Fax

(340) 778-7543

NPI assigned

Sep 18, 2012

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Lavon Merritt, MDNPI 1235257957

Title

Physician/ Owner

Phone

(340) 778-7546

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolyn Merritt MD & Associates Other name

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Lavon Merritt, M.D.

  • Procedural Dermatology Physician
  • Christiansted, VI
  • NPI 1235257957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891045712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5240",
            "city": "KINGSHILL",
            "state": "VI",
            "postal_code": "008515240",
            "telephone_number": "340-778-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254-A ESTATE GLYNN # 3 & 4",
            "address_2": "RR 1 6198",
            "city": "KINGSHILL",
            "state": "VI",
            "postal_code": "008506198",
            "telephone_number": "340-778-7546",
            "fax_number": "340-778-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAROLYN MERRITT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "340-778-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VI",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolyn Merritt MD & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Kingshill, VI
• Providers in Kingshill, VI by specialty
• Specialist in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.