Judith Ann Ogren, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704146117 Issued in MI

Practice address

25810 Kelly Rd
Ste 3
Roseville, MI 48066-4467

Phone

(586) 777-9724

NPI assigned

Jan 14, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jogren823382@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Specialty Group LLC

  • Surgery Physician
  • Clinton TWP, MI
  • NPI 1215122437
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1114316163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25810 KELLY RD",
            "address_2": "STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664467",
            "telephone_number": "586-777-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25810 KELLY RD",
            "address_2": "STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664467",
            "telephone_number": "586-777-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGREN",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704146117",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704146117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie S. Nunu, DMD
• Osama N Nunu, MD
• Sean O'Mara, DPT
• Official Care Connection LLC
• Tone Oglesby, AT
• Abiola Oladele
• Wendy Renee Olsen, CNM
• Bolanle Oluwole, ATC
• One Step at a Time Counseling Services, Inc.
• Ngozika Genevieve Onyiuke, MD

• Gerontology Nurse Practitioner in Roseville, MI
• Providers in Roseville, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.