Organization Active NPI

Belleville Family Health Center

  • Family Nurse Practitioner
  • Belleville, MI
National Provider Identifier
1063961738
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704164057 Issued in MI
Legal business name
BELLEVILLE FAMILY HEALTH CENTER
Practice address
25 Owen St
Belleville, MI 48111-2921
Phone
(734) 699-5400
Fax
(734) 699-5455
NPI assigned
Sep 23, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Ms. Jean Pinkard, FNP-CNPI 1972970838
Title
Administrator
Phone
(734) 699-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704164057 MI Primary

Addresses

Primary practice location

25 Owen St
Belleville, MI 48111-2921

Mailing address

25 Owen St
Belleville, MI 48111-2921
Phone (734) 699-5400

National Provider Directory

National Provider Directory

Locations

25 Owen St
Belleville, MI 48111
Phone (734) 697-7880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1063961738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OWEN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112921",
            "telephone_number": "734-699-5400",
            "fax_number": "734-699-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OWEN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112921",
            "telephone_number": "734-699-5400",
            "fax_number": "734-699-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "PINKARD",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-699-5400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704164057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.