-

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

-

Doing business as

Wellness Within Jackson II PC

Practice address

2120 Grand River Anx Ste 700
Brighton, MI 48114-7391

Phone

(810) 206-1776

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLNESS WITHIN JACKSON II PCAs reported in NPPES

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

Authorized official

Name

Catherine Burtrum, DO

Title

Medical Director

Phone

(517) 748-7399

Specialties & licenses 1

Addresses

Other names 1

• Wellness Within Jackson II PC Doing business as

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wellness Within Jackson II

  • Obesity Medicine (Internal Medicine) Physician
  • Jackson, MI
  • NPI 1760109847
  NPPES parent name

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1215823323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 GRAND RIVER ANX STE 700",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147391",
            "telephone_number": "810-206-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 GRAND RIVER ANX STE 700",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147391",
            "telephone_number": "810-206-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "-",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS WITHIN JACKSON II PC",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "BURTRUM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "517-748-7399",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Within Jackson II PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Brighton, MI
• Providers in Brighton, 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 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.

Verify at the official NPI Registry.