Active NPI
Lois Umphrey
- Driver
- Harrison, MI
National Provider Identifier
1154791986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 7563003
- Practice address
- 2131 Courtney Dr
Harrison, MI 48625-9050 - Phone
- (989) 418-8477
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 7563003 | MI | Primary |
Addresses
Primary practice location
2131 Courtney Dr
Harrison, MI 48625-9050
Mailing address
2131 Courtney Dr
Harrison, MI 48625-9050
Phone (989) 418-8477
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28932020 | Other | MI | ANDREW ROACH |
| 02980805 | Other | MI | DEPARTMENT OF HUMAN SERVICES |
| 1004128123 | Other | MI | ROBERT TOWNSEND |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7563003 | MI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1154791986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 COURTNEY DR",
"city": "HARRISON",
"state": "MI",
"postal_code": "486259050",
"telephone_number": "989-418-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 COURTNEY DR",
"city": "HARRISON",
"state": "MI",
"postal_code": "486259050",
"telephone_number": "989-418-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMPHREY",
"first_name": "LOIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": "7563003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANDREW ROACH",
"identifier": "28932020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HUMAN SERVICES",
"identifier": "02980805",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROBERT TOWNSEND",
"identifier": "1004128123",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.