Active NPI
Antiniece Nicole McPhearson
- Nurse's Aide
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 719 Butterfly Apt 259
Kalamazoo, MI 49009-3217 - Phone
- (314) 728-0474
- NPI assigned
- Jan 19, 2023
- Last updated
- Jun 16, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NU | Primary | |
| Nurse's Aide | 376K00000X | 141824 | MO | |
| Licensed Practical Nurse | 164W00000X | 2021036978 | MO |
Addresses
Primary practice location
719 Butterfly Apt 259
Kalamazoo, MI 49009-3217
Mailing address
4056 Finney Ave
Saint Louis, MO 63113-3426
Phone (314) 728-0474
Other practice location 1
505 E Kalamazoo Ave Ste A
Kalamazoo, MI 49007-3873
Phone (314) 728-0474
Other practice location 2
505 E Kalamazoo Ave
Kalamazoo, MI 49007-3873
Other practice location 3
505 E Kalamazoo Ave Ste A
Kalamazoo, MI 49007-3873
Other practice location 4
505 E Kalamazoo Ave Ste A
Kalamazoo, MI 49007-3873
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 |
|---|---|---|---|
| 2021036978 | MO | MD | Licensed Practical Nurse |
| 141824 | MO | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trust US Home Care LLC | Current | Accepting new patients | |
| Extended Hearts Homecare LLC | Current | Accepting new patients |
Locations
505 E Kalamazoo Ave
Ste A
Kalamazoo, MI 49007
Phone (314) 728-0474
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Kalamazoo, MI
- NPI 1144153081
-
- Chore Provider
- Saint Louis, MO
- NPI 1245929793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1184339533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4056 FINNEY AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631133426",
"telephone_number": "314-728-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 BUTTERFLY APT 259",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093217",
"telephone_number": "314-728-0474"
}
],
"practiceLocations": [
{
"address_1": "505 E Kalamazoo Ave Ste A",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490073873",
"country_code": "US",
"telephone_number": "314-728-0474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 E Kalamazoo Ave",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490073873",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 E Kalamazoo Ave Ste A",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490073873",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 E Kalamazoo Ave Ste A",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490073873",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHEARSON",
"first_name": "ANTINIECE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-19",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MO",
"license": "141824",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MO",
"license": "2021036978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.