Individual provider Active NPI

Emina Celovic, DNP

  • Adult Health Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1124865936
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704403369 Issued in MI
Practice address
5021 Verdure Pkwy Apt 310
Grand Rapids, MI 49512-5532
Phone
(315) 439-1824
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704403369 MI Primary
Registered Nurse 163W00000X 824472 NY
Registered Nurse 163W00000X 4704403369 MI

Addresses

Primary practice location

5021 Verdure Pkwy Apt 310
Grand Rapids, MI 49512-5532

Mailing address

5021 Verdure Pkwy Apt 310
Grand Rapids, MI 49512-5532
Phone (315) 439-1824

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

LicenseStateTypeSpecialty
4704403369MIMDRegistered Nurse
824472NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1124865936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 VERDURE PKWY APT 310",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125532",
            "telephone_number": "315-439-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 VERDURE PKWY APT 310",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125532",
            "telephone_number": "315-439-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELOVIC",
        "first_name": "EMINA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704403369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "824472",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704403369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.