Interlochen Center for the Arts

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704114336 Issued in MI

Legal business name

INTERLOCHEN CENTER FOR THE ARTS

Practice address

9900 Diamond Park Road
Health Services
Interlochen, MI 49643-0199

Phone

(231) 276-7220

Fax

(231) 276-7881

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Nancy L Giffels, NP

Title

Director of Health and Wellness

Phone

(231) 276-7220

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene S Danek, M.D.

  • General Practice Physician
  • Interlochen, MI
  • NPI 1184841579
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1174843353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "address_2": "SUITE F",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496430199",
            "telephone_number": "231-276-7220",
            "fax_number": "231-276-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 DIAMOND PARK ROAD",
            "address_2": "HEALTH SERVICES",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496430199",
            "telephone_number": "231-276-7220",
            "fax_number": "231-276-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLOCHEN CENTER FOR THE ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "GIFFELS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH AND WELLNESS",
        "authorized_official_telephone_number": "231-276-7220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704114336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922003367",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "264027354",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NC114336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew J Gutzka
• Healthcare Coordinates LLC
• William Hendershot, DDS
• Roberta L Herbst, PA-C
• Jeanette Theresa Huddleston, R.N.
• Aubrey Jabour
• Aubry Lyn Langlois
• Larry Wareck
• Debra E. Lewis, D.D.S.
• A. Barry Lishawa, D.D.S.

• Family Nurse Practitioner in Interlochen, MI
• Providers in Interlochen, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.