Individual provider Active NPI

Nicole Sovey, MSN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Hartland, MI
National Provider Identifier
1063810216
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4704303156 Issued in MI
Practice address
11166 Highland Rd
Hartland, MI 48353-2702
Phone
(810) 632-0092
Fax
(810) 632-0308
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704303156 MI
Women's Health Nurse Practitioner 363LW0102X 4704303156 MI Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4704303156 MI

Addresses

Primary practice location

11166 Highland Rd
Hartland, MI 48353-2702

Mailing address

11166 Highland Rd
Hartland, MI 48353-2702
Phone (810) 632-0092

Other names 1

  • Nicole Erridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001009 MI Practitioner - Nurse Practitioner 5991026536 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704303156MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Womens Health PC CurrentSince Mar 19, 2018 Accepting new patients
Oakland Macomb Obstetrics & Gynecology, PC CurrentSince Jul 1, 2018 Accepting new patients
VHS Physicians of Michigan CurrentSince Apr 14, 2015 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

555 Midtowne St NE
Ste 400
Grand Rapids, MI 49503
Phone (616) 588-1200

11166 Highland Rd
Hartland, MI 48353
Phone (248) 455-0865

1701 South Blvd E
Ste 200
Rochester Hills, MI 48307
Phone (248) 997-5805

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1063810216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532702",
            "telephone_number": "810-632-0092",
            "fax_number": "810-632-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532702",
            "telephone_number": "810-632-0092",
            "fax_number": "810-632-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVEY",
        "first_name": "NICOLE",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704303156",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704303156",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704303156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ERRIDGE",
            "credential": "MSN, WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartland, MI

Sources for this page

Verify at the official NPI Registry.