James Edward Van Eck III

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703116365 Issued in MI

Practice address

301 N 4TH St Apt 5
Marquette, MI 49855-3444

Phone

(906) 202-2865

NPI assigned

Mar 4, 2020

Sex

Male

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

State licenses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1104451780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 4TH ST APT 5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553444",
            "telephone_number": "906-202-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 4TH ST APT 5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553444",
            "telephone_number": "906-202-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ECK",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703116365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Marie Vachon
• Diane Valenzio, B.S.N., M.S.N.
• Toni Valesano, RN
• Bethany Ann Vallar, D.C.
• William Carter Vallin, PA C
• Jessica Van Overloop
• Colin D Van, CADC
• Hendrik C Vandenende, MD
• Nina Rae Vandenende, NP
• Amy Vanderberg

• Licensed Practical Nurse in Marquette, MI
• Providers in Marquette, MI by specialty
• Licensed Practical Nurse in Michigan

• 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.

Verify at the official NPI Registry.