MR. SHONATHAN EDWARD MERRICKS FNP-BC NPI 1376057166

NPI Information

  • NPI: 1376057166
  • Provider Name: MR. SHONATHAN EDWARD MERRICKS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 43057 GREEN TREE AVE
    GONZALES, LA
    ZIP 70737
  • Phone: (504) 701-4416

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NPI Details

MR. Shonathan Edward Merricks, FNP-BC is a family nurse practitioner in Gonzales, LA. MR. Shonathan Edward Merricks, FNP-BC NPI is 1376057166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

43057 GREEN TREE AVE
GONZALES, LA
ZIP 70737-594
Phone: (504) 701-4416
Fax: (504) 298-0132

The NPI 1376057166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2017 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse121585LOUISIANANo
2363LF0000XNurse PractitionerFamily201571LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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