Active NPI
Anita McCann, RN
- Case Management Registered Nurse
- Waterford, MI
National Provider Identifier
1013431618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 4704274055
- Practice address
- 279 Summit Dr
Waterford, MI 48328-3364 - Phone
- (248) 745-4900
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 4704274055 | MI | |
| Case Management Registered Nurse | 163WC0400X | 4704274055 | MI | Primary |
Addresses
Primary practice location
279 Summit Dr
Waterford, MI 48328-3364
Mailing address
279 Summit Dr
Waterford, MI 48328-3364
Phone (248) 745-4900
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 |
|---|---|---|---|
| 4704274055 | MI | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1013431618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-745-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-745-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "ANITA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MI",
"license": "4704274055",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MI",
"license": "4704274055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.