Lynne Katherine Versace, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704131522 Issued in MI

Practice address

4473 Peppermill LN
Lake Orion, MI 48359-2071

Phone

(248) 931-0351

NPI assigned

May 22, 2025

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": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1124810262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 LANG RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232428",
            "telephone_number": "248-980-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 PEPPERMILL LN",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592071",
            "telephone_number": "248-931-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSACE",
        "first_name": "LYNNE",
        "middle_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704131522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Physician Group
• David P Valentine, MS, CPHT
• Huyen Thi Van, PHARMD, RPH
• Veronica Marilena Varzaru, RPH
• Carmella Josephine Venturini, FNP-C
• Kyle Vires
• Visionworks Inc.
• Audrey Vizzaccaro, P.A.-C.
• VMLP Ah PLC
• Mary Jo K Voelpel, D.O.

• Registered Nurse in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.