JACOB DOUGLAS MERRILL (NPI# 1992259980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992259980 |
| Entity Type | Individual |
| Full Name | JACOB DOUGLAS MERRILL |
| Credential | APRN-CNP |
| Practice Address |
921 Ne 13th St Oklahoma City OK 73104-5007 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4059493349 |
| Practice Fax Number | 4055520450 |
| Mailing Telephone | 4059493349 |
| Mailing Fax Number | 4055520450 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
87981 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 S Country Club Rd, El Reno, OK 730365427 | 4052952900 |
| Street Address |
921 NE 13TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770691 | Jill Davis Anderson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2005-09-16 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| 1346848918 | Devon Marie Ponds-foster | Registered Nurse | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-15 |
| 1962009357 | Heather Mae Holzbauer-schweitzer | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1083211478 | Kacie Marie Ingram | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1801402680 | Suifen Dong | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-17 |
| 1770198244 | Hayley Ellen Sewell | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1912512484 | Amanda Toebe | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1760095970 | Christy Tran | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-26 |
| 1861002347 | Caitlin Ann Lohrenz | Case Manager/Care Coordinator | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821508037 | Bridget Ann Van Treese | Nurse Practitioner | 2828 Nw 57th St Ste 300, Oklahoma City, OK 73112-7070 | 2017-10-03 |
| 1356862338 | Heather Spiegel | Nurse Practitioner | 3435 Nw 56th St Ste 711, Oklahoma City, OK 73112-4414 | 2017-06-29 |
| 1760083554 | Cristin Michelle Fong | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-11-06 |
| 1578160487 | Jennifer Bauman | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-10-04 |
| 1184243396 | Mary Katherine Ranchhod | Nurse Practitioner | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-04-09 |
| 1255966685 | Traci Mcclay | Nurse Practitioner | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-03-05 |
| 1164067484 | Barbara Myra Peterson | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-11-11 |
| 1356902019 | Chelsea Mae Bruster | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-06-24 |
| 1750947321 | Courtney Needham | Nurse Practitioner | 800 Stanton L Young Blvd Ste 9000, Oklahoma City, OK 73104-5018 | 2019-05-19 |
| 1699331371 | Kendra Jo Peters | Nurse Practitioner | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2019-05-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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| 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.