KISCA KAY MERRYMAN QMHA-R
NPI 1497330187
Case Manager/Care Coordinator in Salem, OR

Q: What is Kisca Merryman's NPI number?

The NPI number for Kisca Merryman is 1497330187. It was assigned to this individual provider in the NPPES registry on March 14, 2021.

Q: What is Kisca Merryman's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kisca Merryman was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2021

2045 SILVERTON RD NE STE B, SALEM, OR 97301(503) 588-5351(503) 361-2666 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Mar 14, 2021 (2 updates tracked since 2021).

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About Kisca Kay Merryman Qmha-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISCA KAY MERRYMAN QMHA-R (NPI 1497330187) is an individual case manager/care coordinator provider in Salem, Oregon, licensed in Oregon (NO.23-QMHA-R-3693) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1497330187

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKISCA KAY MERRYMANCredential: QMHA-R

Location Address2045 SILVERTON RD NE STE BSalem, OR 97301-0100

Mailing Address1118 Oak St SeSalem, OR 97301-4019 · (503) 585-4949

Phone(503) 588-5351

Fax(503) 361-2666

Sole ProprietorYes

Enumeration DateMarch 14, 2021

Last NPPES UpdateJune 10, 20242 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1497330187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OR · NO.23-QMHA-R-3693

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedPeer SpecialistTaxonomy 175T00000X · License 104611 (OR)

2045 SILVERTON RD NE STE B, Salem, OR 97301

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