Active NPI
Charles Nash
- Case Manager/Care Coordinator
- Muskegon, MI
National Provider Identifier
1104229251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 610022
- Practice address
- 819 Amity Ave
Muskegon, MI 49442-2117 - Phone
- (231) 329-2421
- Fax
- (231) 722-4771
- NPI assigned
- Oct 3, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 610022 | MI | Primary |
Addresses
Primary practice location
819 Amity Ave
Muskegon, MI 49442-2117
Mailing address
819 Amity Ave
Muskegon, MI 49442-2117
Phone (231) 329-2421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610022 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1104229251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 AMITY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494422117",
"telephone_number": "231-329-2421",
"fax_number": "231-722-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 AMITY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494422117",
"telephone_number": "231-329-2421",
"fax_number": "231-722-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "610022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.