MRS. MELISSA D MERRILL


Address: 132 5th Ave W, Jerome, ID 83338-1825
Phone: 2083245286

MRS. MELISSA D MERRILL (NPI# 1043459696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043459696
Entity Type Individual
Full Name MRS. MELISSA D MERRILL
Other Name MELISSA VITEK
Credential CNM, WHNP
Practice Address 132 5th Ave W
Jerome
ID 83338-1825
Practice Telephone 2083245286
Practice Fax Number 2083249815
Mailing Telephone 2083245286
Mailing Fax Number 2083249815
Enumeration Date 2009-02-05
Last Update Date 2015-01-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
NP1172A ID Physician Assistants & Advanced Practice Nursing Providers
N 367A00000X Advanced Practice Midwife 19862A ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 808284700 05
ID BS 000010171795 01
ID BC NP311 01

Other Providers MELISSA MERRILL

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1902343015 Melissa Merrill Social Worker 13123 E. 16th Avenue, Aurora, CO 80045 2017-01-26
1821456096 Melissa Kaye Merrill Nurse Practitioner 8424 Naab Rd Ste 1h, Indianapolis, IN 46260-1954 2016-02-03
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Office Location

Street Address 132 5TH AVE W
City JEROME
State ID
Zip Code 83338-1825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023007465 James S Irwin Family Medicine 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 2005-10-18
1851612600 Justin G Smith Family Medicine 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 2010-06-16
1356485767 Elizabeth Hart Sugden Family Medicine 132 5th Ave W, Jerome, ID 83338-1825 2007-02-18
1457382244 Jonathan Walden Housley Family Medicine 132 5th Ave W, Jerome, ID 83338-1825 2006-07-06
1366486003 Joshua William Kern Family Medicine 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 2006-06-15
1427028067 Joseph Emilian Ollivier Physician Assistant 132 5th Ave W, Jerome, ID 83338-1825 2006-01-25
1245229558 Alice R. Trabert Nurse Practitioner 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 2005-10-19
1720077175 James D. Lohmann Family Medicine 132 5th Ave W, Suite 2, Jerome, ID 83338-1825 2005-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1811391626 Summit Therapy Services In Home Supportive Care 113 East Ave. F, Jerome, ID 83338 2014-10-22
1952645285 Readings Community Pharmacy Inc Pharmacy 133 West A, Jerome, ID 83338 2012-11-27
1801121298 Yolanda S. Sedano Physician Assistant 132 5th Ave West, Jerome, ID 83338 2009-10-02
1295898310 Ronald Gail Hendrickson Dentist 128 South Adams, Jerome, ID 83338 2006-12-19
1316035512 Johnson Chiropractic Clinic Chiropractor 600 N Lincoln Ave, Jerome, ID 83338 2006-10-11
1265527725 Lon M. Egbert, P.C. Specialist/Technologist 128 5th Ave West, Jerome, ID 83338 2006-10-03
1992898605 St Benedicts Family Medical Center Home Health 414 N Lincoln, Suite 1, Jerome, ID 83338 2006-10-02
1790231355 Lexa Marie Balling Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338 2016-09-01
1922037530 St Benedicts Family Medical Center Clinic/Center 115 5th Ave W, Jerome, ID 83338-1824 2006-07-03
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356678106 Clea K. Mefford Nurse Practitioner 1408 Pomerelle Ave # H, Burley, ID 83318-2064 2009-11-13
1477714285 Kara Kelly Hill Nurse Practitioner 111 Main St Ste 100, Boise, ID 83702-7307 2008-06-24
1265617849 Selkirk Family Medicine & Womens Health Pllc Nurse Practitioner 1215 Michigan St Ste C, Sandpoint, ID 83864-5014 2008-01-02
1538238506 Pamela Jan Tilaro Nurse Practitioner 8500 N. Atlas Rd, Hayden, ID 83835-8332 2006-11-06
1922197946 Cynthia W Dalsing Nurse Practitioner 1215 Michigan St, Suite C, Sandpoint, ID 83864-5014 2006-10-11
1144325572 Annie C Fife Nurse Practitioner 500 W. Fort St, Boise, ID 83702 2006-09-13
1679688030 Healing Arts Women's Clinic, Pa Nurse Practitioner 222 W Iowa Ave Ste 225, Nampa, ID 83686-6815 2006-08-19
1508886425 Mary Gerard Battaglia Nurse Practitioner 1112 Ironwood Dr, Coeur D Alene, ID 83814 2006-07-21
1013936541 Susan P Stutzman Nurse Practitioner 215 10th St, Lewiston, ID 83501-1912 2006-07-18
1871560995 Mary R Fiedler Nurse Practitioner 1020 Michigan St, Sandpoint, ID 83864-1788 2006-03-07
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Competitor

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City JEROME
Zip Code 83338

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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