Active NPI
Dorothy Massey, R.N.
- Community Health Registered Nurse
- Sault Sainte Marie, MI
National Provider Identifier
1003905720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- DM101325
- Practice address
- 3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286 - Phone
- (906) 632-2805
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | DM101325 | MI | Primary |
Addresses
Primary practice location
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Mailing address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7509104130 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DM101325 | MI | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiawatha Community Mental Health Authority | Past | Accepting new patients | |
| Hiawatha Community Mental Health Authority | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Saint Ignace, MI
- NPI 1457529505
-
- Community/Behavioral Health Agency
- Manistique, MI
- NPI 1922276070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003905720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 S MACKINAC TRL",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 S MACKINAC TRL",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839286",
"telephone_number": "906-632-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "DOROTHY",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "DM101325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7509104130",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.