Anissa Castelluzzo, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704259317 Issued in MI

Practice address

975 S Monroe St Ste C
Monroe, MI 48161

Phone

(734) 241-0560

Fax

(734) 241-3230

NPI assigned

Mar 29, 2013

Last updated

May 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1225371032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S MONROE ST STE C",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611478",
            "telephone_number": "734-241-0560",
            "fax_number": "734-241-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S MONROE ST STE C",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48161",
            "telephone_number": "734-241-0560",
            "fax_number": "734-241-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 N Haggerty Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873605",
            "country_code": "US",
            "telephone_number": "734-526-8860",
            "fax_number": "734-353-4108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 N Haggerty Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873605",
            "country_code": "US",
            "telephone_number": "734-526-8860",
            "fax_number": "734-353-4108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLUZZO",
        "first_name": "ANISSA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704259317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Monroe, MI
• Providers in Monroe, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.