Grace Ann Lopez, BSN, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

4704253889 Issued in MI

Practice address

601 John St Ste M-170
Kalamazoo, MI 49007-5366

Phone

(269) 381-7169

NPI assigned

Apr 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1073142295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34234 VAUXHILL DR",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799543",
            "telephone_number": "269-377-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE M-170",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075366",
            "telephone_number": "269-381-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MI",
            "license": "4704253889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicky Long, BSW
• Patty Long
• Sara Margarita Long, SLP
• Rebecca Anne Longcore, LLMSW
• Avery Lopez
• Elizabeth R Lorbeer, EDM, MLS
• Raymond Sterling Lord, M.D.
• Loren L Russcher MD
• Desiree M. Lorente
• Rebecca Loser

• Ambulatory Care Registered Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Ambulatory Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.