Active NPI
Emily Janina Jamett, CPNP-PC
- Pediatric Nurse Practitioner
- Beverly Hills, MI
National Provider Identifier
1093351595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704313738
- Practice address
- 31815 Southfield Rd Ste 10
Beverly Hills, MI 48025-5471 - Phone
- (248) 644-2700
- NPI assigned
- Nov 20, 2019
- Last updated
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704313738 | MI | Primary |
Addresses
Primary practice location
31815 Southfield Rd Ste 10
Beverly Hills, MI 48025-5471
Mailing address
31815 Southfield Rd Ste 10
Beverly Hills, MI 48025-5471
Phone (248) 644-2700
Other practice location 1
4350 Jackson Rd Ste 100
Ann Arbor, MI 48103-1889
Phone (734) 971-9344
Other names 1
- Ms. Emily Janina Pichan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704313738 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pediatrics PLLC | Past | Accepting new patients |
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.
-
- Pediatric Adolescent Medicine Physician
- Beverly Hills, MI
- NPI 1962780767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1093351595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31815 SOUTHFIELD RD STE 10",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255471",
"telephone_number": "248-644-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31815 SOUTHFIELD RD STE 10",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255471",
"telephone_number": "248-644-2700"
}
],
"practiceLocations": [
{
"address_1": "4350 Jackson Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481031889",
"country_code": "US",
"telephone_number": "734-971-9344",
"fax_number": "734-971-2303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMETT",
"first_name": "EMILY",
"middle_name": "JANINA",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704313738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "PICHAN",
"middle_name": "JANINA",
"prefix": "MS.",
"credential": "CPNP-PC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.