Maryanne Vonins Gregory, CPRM-M

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

125 E Southern Ave
Muskegon, MI 49442-5041

Phone

(231) 726-3582

Fax

(231) 722-3369

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1205374469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425041",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425041",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MARYANNE",
        "middle_name": "VONINS",
        "credential": "CPRM-M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Grace Assemblies and Networks
• Angela Kay Green, PHARM.D.
• Gregory G Green, MD
• Dawanda Greene
• David Greeno
• Tonya Gregory, RN
• Brandon Greig, DDS
• Julie M Grelewicz, PA
• Megan Jeanine Grelewicz, PHARMD
• Carly Gremore, RN, SCRN

• Peer Specialist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.