Active NPI
Merry A. Kelly, R.N.
- Registered Nurse
- Cedar City, UT
National Provider Identifier
1891065280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 282003-3102
- Practice address
- 260 E DL Sargent Drive
Cedar City, UT 84721 - Phone
- (435) 586-2347
- Fax
- (435) 586-4851
- NPI assigned
- Jan 3, 2012
- 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 | 282003-3102 | UT | Primary |
Addresses
Primary practice location
260 E DL Sargent Drive
Cedar City, UT 84721
Mailing address
620 S 400 E
Suite 400
St. George, UT 84770
Phone (435) 673-3528
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282003-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Utah Public Health Dept | Past | Accepting new patients | |
| Southwest Utah Public Health Department | Past | Accepting new patients | |
| Southwest Utah Public Health Department | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Public Health or Welfare Agency
- St George, UT
- NPI 1619062759
-
- Public Health or Welfare Agency
- Cedar City, UT
- NPI 1962413690
-
- Public Health or Welfare Agency
- St George, UT
- NPI 1306841606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1891065280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S 400 E",
"address_2": "SUITE 400",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84770",
"telephone_number": "435-673-3528",
"fax_number": "435-628-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E DL SARGENT DRIVE",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "84721",
"telephone_number": "435-586-2347",
"fax_number": "435-586-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MERRY",
"middle_name": "A.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "282003-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.