Carrie Ann Assenmacher, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002559 Issued in MI

Practice address

1820 Shaffer Street
Kalamazoo, MI 49048-1604

Phone

(269) 381-7136

Fax

(269) 381-6665

NPI assigned

Jan 21, 2009

Last updated

Sep 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1043457534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SHAFFER STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481604",
            "telephone_number": "269-381-7136",
            "fax_number": "269-381-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SHAFFER STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481604",
            "telephone_number": "269-381-7136",
            "fax_number": "269-381-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSENMACHER",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "700C915330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.