Kathy A Merillat, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704155128 Issued in MI

Practice address

11500 Pleasant View Dr
Pinckney, MI 48169-9558

Phone

(734) 972-4583

Fax

(734) 572-1839

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1962073288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 PLEASANT VIEW DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699558",
            "telephone_number": "734-972-4583",
            "fax_number": "734-572-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 PLEASANT VIEW DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699558",
            "telephone_number": "734-972-4583",
            "fax_number": "734-572-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERILLAT",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704155128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Pinckney, MI
• Providers in Pinckney, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.