Organization Active NPI

Alpena Redicare Walk-in Clinic, PLLC

  • Family Medicine Physician
  • Alpena, MI
National Provider Identifier
1003292905
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALPENA REDICARE WALK-IN CLINIC, PLLC
Practice address
1691 M 32 W
Suite 2
Alpena, MI 49707-8210
Phone
(517) 819-9279
NPI assigned
Aug 3, 2015
Last updated
Aug 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jessica Glenn-Beatty, MD
Title
Owner
Phone
(517) 819-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1691 M 32 W
Suite 2
Alpena, MI 49707-8210

Mailing address

8607 US Highway 23 S
Ossineke, MI 49766-9563

National Provider Directory

National Provider Directory

Locations

1691 M 32 W
Ste 2
Alpena, MI 49707
Phone (517) 819-9279

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1003292905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 US HIGHWAY 23 S",
            "city": "OSSINEKE",
            "state": "MI",
            "postal_code": "497669563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 M 32 W",
            "address_2": "SUITE 2",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078210",
            "telephone_number": "517-819-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPENA REDICARE WALK-IN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "GLENN-BEATTY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-819-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.