Active NPI
Center for Family Health
- Registered Nurse
- Jackson, MI
National Provider Identifier
1194922906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- CENTER FOR FAMILY HEALTH
- Practice address
- 2200 Springport Rd
Jackson, MI 49202-1432 - Phone
- (517) 784-3950
- Fax
- (517) 783-2728
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheryl McCormick
- Title
- Patient Account Manager
- Phone
- (517) 784-3950
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Registered Dietitian | 133V00000X | |||
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
2200 Springport Rd
Jackson, MI 49202-1432
Mailing address
PO Box 548
Jackson, MI 49204-0548
Phone (517) 784-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030708000028 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 4587574421 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jackson, MI |
Federally qualified health center certification: CCN 231865
- Legal name
- CENTER FOR FAMILY HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 1, 1997
- Last certification
- Dec 1, 1997
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation
- Incorporated
- Sep 1, 1995 in MI
- Enrollment address
- 505 N Jackson St
Jackson, MI 49201-1266
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1780784439
O20030708000028
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| William M Wypyski | Corporate Director | Nov 17, 2023 | |
| W-2 Managing Employee | Nov 17, 2023 | 100% | |
| Randall Wesley Treacher | Corporate Officer | Jun 1, 2016 | |
| Monica Pierce | Corporate Officer | Jan 1, 2022 | |
| Alisa Marie Anders | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| Zoe Lynn Lyons | Corporate Officer | Feb 1, 2019 | |
| Jacob Inosencio | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| Jessica Marie Embury | Corporate Officer | Nov 1, 2018 | |
| Shawna Marie Tello | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| Lori Heiler | Corporate Officer | Apr 1, 2007 | |
| Chelsea Poole | Corporate Officer | Jan 1, 2022 | |
| Ralph Dale Moretz | Corporate Officer | Sep 1, 2001 | |
| Sheila Troxel | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| Jennifer White | Corporate Officer | Apr 1, 2013 | |
| Tiphanie Salas | Corporate Director | Jan 13, 2025 | |
| W-2 Managing Employee | Jan 13, 2025 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1194922906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "JACKSON",
"state": "MI",
"postal_code": "492040548",
"telephone_number": "517-784-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SPRINGPORT RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492021432",
"telephone_number": "517-784-3950",
"fax_number": "517-783-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR FAMILY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
"authorized_official_telephone_number": "517-784-3950"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.