Medemdemia Merin

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B-10012 Issued in CO

Practice address

808 S Geneva St
Aurora, CO 80247-1932

Phone

(720) 400-2828

Fax

(720) 216-1901

NPI assigned

Jun 12, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shalom Transportation LLC

  • Transportation Broker
  • Aurora, CO
  • NPI 1982157285
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1992186126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S GENEVA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802471932",
            "telephone_number": "720-400-2828",
            "fax_number": "720-216-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S GENEVA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802471932",
            "telephone_number": "720-400-2828",
            "fax_number": "720-216-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIN",
        "first_name": "MEDEMDEMIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "B-10012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58722726",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa A Mere, SNF
• Alyssa Meredith
• Sarah Elliott Meredith, RN
• Tiehlor Meredith
• Tsebaot S Mergia
• Holly Merkison, LPC
• Alexander Nesbitt Merkle, M.D.
• Jonathan Merola, MD
• Adele Meron, M.D.
• Daniel Merrick, MD

• Non-emergency Medical Transport (VAN) in Aurora, CO
• Providers in Aurora, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.