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Lisa Merritt

Specialist/Technologist, Athletic Trainer in Mashpee, MA. Individual provider (NPI-1).

NPI number1316596141
StatusActive
Last updated in NPPESSep 4, 2019

Details

NPI
1316596141
Entity type
Individual (NPI-1)
Name
Lisa Merritt
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 4, 2019
Last updated
Sep 4, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

115 Old Brickyard Rd
Mashpee, MA 02649-3118

Phone 774-563-0290

Mailing address

115 Old Brickyard Rd
Mashpee, MA 02649-3118

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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