Active NPI
Myriah Nadene Adams
- Psychiatric/Mental Health Registered Nurse
- Big Rapids, MI
National Provider Identifier
1255980702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 4704250916
- Practice address
- 500 S 3Rd Ave
Big Rapids, MI 49307-9501 - Phone
- (231) 796-5825
- NPI assigned
- Sep 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1881622892
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1609412840
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704250916 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health for Central Michigan | Current | Accepting new patients | |
| Community Mental Health for Central Michigan | Past | Accepting new patients |
Locations
500 S 3rd Ave
Big Rapids, MI 49307
Phone (231) 796-3553
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704250916 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 S 3Rd Ave
Big Rapids, MI 49307-9501
Mailing address
4562 W Edgar Rd
Six Lakes, MI 48886-7717
Other names 1
NPPES NPI Registry- Miss Myriah Nadene Loper
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2019.
{
"created_epoch": "1567814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567814400000",
"number": "1255980702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4562 W EDGAR RD",
"city": "SIX LAKES",
"state": "MI",
"postal_code": "488867717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S 3RD AVE",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079501",
"telephone_number": "231-796-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MYRIAH",
"middle_name": "NADENE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-07",
"last_updated": "2019-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MI",
"license": "4704250916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYRIAH",
"last_name": "LOPER",
"middle_name": "NADENE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.