Emily Jo Mortenson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704288456 Issued in MI

Practice address

2850 S Industrial Hwy Ste 75
Ann Arbor, MI 48104-6796

Phone

(734) 477-7298

NPI assigned

Jun 10, 2016

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1073962908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SAINT JAMES PL",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181171",
            "telephone_number": "315-345-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S INDUSTRIAL HWY STE 75",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046796",
            "telephone_number": "734-477-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "EMILY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704288456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armin Mortazavi
• Mary Patricia Mortell, M.D.
• David Mortensen, MD
• McKenzie Mortensen, MS OTR/L
• Richard Michael Mortensen, MD
• Lindsey Young Mortenson, M.D.
• Andrew Morton
• Christina Marie Morton, MD
• Ruth Susan Moscow-Cohen, LMSW
• Matthew Moseley, PHARMD

• All providers in Ann Arbor, MI
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.