Active NPI
Deborah Merriweather, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
National Provider Identifier
1972509651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN-196623-L
- Practice address
- 2301 E Allegheny Ave
Philadelphia, PA 19134-4427 - Phone
- (215) 291-3000
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-196623-L | PA | Primary |
Addresses
Primary practice location
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Mailing address
PO Box 8500-1776
Philadelphia, PA 19178-0001
Phone (201) 804-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01767399 | Medicaid | PA |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-196623-L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Society Hill Anesthesia Consultants, PC | Past | Accepting new patients | |
| Nevyas Eye Associates, PC | Past | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients | |
| Liberty Anesthesia Associates, P. C. | Past | Accepting new patients | |
| Blake Gastroenterology Associates, LLC | Past | Accepting new patients | |
| Nevyas Eye Associates, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1386729705
-
- Specialist
- Coatesville, PA
- NPI 1972509792
-
- Ambulatory Surgical Clinic/Center
- Bala Cynwyd, PA
- NPI 1346224490
-
- Specialist
- Bala Cynwyd, PA
- NPI 1730163254
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1972509651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-1776",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-291-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIWEATHER",
"first_name": "DEBORAH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN-196623-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01767399",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.