Individual provider Active NPI

Danielle Lyndsey Engwis, FNP-C

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1205436375
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704342999 Issued in MI
Practice address
2025 Abbot Rd Ste 100
East Lansing, MI 48823-8573
Phone
(517) 333-3550
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704342999 MI Primary

Addresses

Primary practice location

2025 Abbot Rd Ste 100
East Lansing, MI 48823-8573

Mailing address

3643 Jolly Oak Rd Unit A1040
Okemos, MI 48864-3554
Phone (989) 615-9826

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704342999MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Aas LLC CurrentSince Jan 26, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1205436375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 JOLLY OAK RD UNIT A1040",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643554",
            "telephone_number": "989-615-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 ABBOT RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238573",
            "telephone_number": "517-333-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGWIS",
        "first_name": "DANIELLE",
        "middle_name": "LYNDSEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704342999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.