Active NPI
Tess Vindischman
- Student in an Organized Health Care Education/Training Program
- Pontiac, MI
National Provider Identifier
1265126635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 5151016391
- Practice address
- 44405 Woodward Ave
Trinity Health Oakland, Graduate Medical Education
Pontiac, MI 48341 - Phone
- (248) 858-6225
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5151016391 | MI | Primary |
Addresses
Primary practice location
44405 Woodward Ave
Trinity Health Oakland, Graduate Medical Education
Pontiac, MI 48341
Mailing address
44405 Woodward Ave
Trinity Health Oakland, Graduate Medical Education
Pontiac, MI 48341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230823001013 | MI | Order and Referring Only - Internal Medicine | 7517320666 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1265126635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"address_2": "TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"address_2": "TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-858-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINDISCHMAN",
"first_name": "TESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5151016391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.