Liz Kimberly Vidana, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704363223 Issued in MI

Practice address

1983 Sprucewood Dr
Sterling Heights, MI 48310-5867

Phone

(248) 797-4536

NPI assigned

Dec 2, 2020

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

Other names 1

• Liz Vidana Former name

Electronic endpoints 1

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1144825530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 SPRUCEWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105867",
            "telephone_number": "248-797-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 SPRUCEWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105867",
            "telephone_number": "248-797-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDANA",
        "first_name": "LIZ KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704363223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Liz.vidana@careathomepc.com",
            "affiliation": "N",
            "address_1": "1983 Sprucewood Dr",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483105867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "VIDANA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Verhaeghe, PA-C
• Alyssa Martha Verneau
• Melissa Veseli
• Allyson Vesprini
• Matthew Vibbard
• David J Villanueva, M.D.
• Ethel L Villanueva, M.D.
• Jasmin Villavicencio
• Charu Vinaik, PT
• Demetrius Vincent

• Case Management Registered Nurse in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.