Individual provider Active NPI

Genevieve Elizabeth Sweeney, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1073123501
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704313968 Issued in MI
Practice address
4870 W Clark Rd Ste 100
Ypsilanti, MI 48197-1104
Phone
(734) 725-8802
Fax
(734) 480-8686
NPI assigned
Aug 10, 2020
Last updated
Sep 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704313968 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704313968 MI Primary
Primary Care Nurse Practitioner 363LP2300X 4704313968 MI

Addresses

Primary practice location

4870 W Clark Rd Ste 100
Ypsilanti, MI 48197-1104

Mailing address

15300 Silver Pkwy Apt 208
Fenton, MI 48430-3479
Phone (616) 427-5066

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
I20210415002980 MI Practitioner - Nurse Practitioner 7416365234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Consultation CenterGroup PAC ID 4284057662, 9 clinicians

Practice addresses (Care Compare)

2301 S Huron Pkwy
Suite 2B
Ann Arbor, MI 48104-5133
Phone 73472588021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Consultation Center Psychiatric/Mental Health CurrentSince Jan 8, 2021 Accepting new patients

Locations

2301 S Huron Pkwy
Ste 2B
Ann Arbor, MI 48104
Phone (734) 677-0710

4870 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 444-4063

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1073123501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 SILVER PKWY APT 208",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303479",
            "telephone_number": "616-427-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-725-8802",
            "fax_number": "734-480-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "GENEVIEVE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704313968",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704313968",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704313968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.