NPIMap

Organization Active NPI

Helen Newberry Joy Hospital

  • Nurse Practitioner
  • Newberry, MI
National Provider Identifier
1043413370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
480020 Issued in MI
Legal business name
HELEN NEWBERRY JOY HOSPITAL
Practice address
502 W Harrie St
Newberry, MI 49868-1209
Phone
(906) 293-9233
Fax
(906) 293-9285
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wayne P Hellerstedt
Title
Ceo
Phone
(906) 293-9247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 480020 MI Primary

Addresses

Primary practice location

502 W Harrie St
Newberry, MI 49868-1209

Mailing address

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9233

Other identifiers 1

IdentifierTypeStateIssuer
010D81004OtherMIBCBS GROUP 4 CNP

Other names 1

  • HNJH Provider Group 4 Other name

National Provider Directory

National Provider Directory
Tax ID family
Richard Dmello7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043413370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9233",
            "fax_number": "906-293-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9233",
            "fax_number": "906-293-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN NEWBERRY JOY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLERSTEDT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-293-9247"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "480020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP 4 CNP",
            "identifier": "010D81004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HNJH Provider Group 4",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newberry, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.