Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katidiane Merrill

Individual provider Primary Care Nurse Practitioner · NPI 1568328979

Katidiane Merrill is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2024, 2 years ago. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 326140 (AZ)

Record details

NPI number1568328979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2025
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address2946 E Banner Gateway Dr, Gilbert, AZ 85234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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