Organization Active NPI

St Joseph Mercy Hospital

  • Certified Registered Nurse Anesthetist
  • Howell, MI
National Provider Identifier
1265497705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704191640 Issued in MI
Legal business name
ST JOSEPH MERCY HOSPITAL
Practice address
620 Byron Rd
Howell, MI 48843-1002
Phone
(517) 545-6255
Fax
(734) 677-6066
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Lynn Faucher, CRNA,MS
Title
Nurse Anesthetist
Phone
(517) 545-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704191640 MI Primary

Addresses

Primary practice location

620 Byron Rd
Howell, MI 48843-1002

Mailing address

4150 Clifford Rd
Brighton, MI 48116-9719
Phone (810) 225-7901

National Provider Directory

National Provider Directory

Locations

1600 S Canton Center Rd
Ste 340
Canton, MI 48188
Phone (734) 398-8630

1020 E Michigan Ave
Ste 1
Saline, MI 48176

4936 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 434-6200

5333 McAuley Dr
Rm 1000
Ypsilanti, MI 48197
Phone (734) 712-5898

5401 McAuley Dr
Ste 610
Ypsilanti, MI 48197

5401 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-5850

5301 E Huron Riv Dr
Pittsburgh, PA 15251

Practitioners & affiliated clinicians

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265497705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CLIFFORD RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169719",
            "telephone_number": "810-225-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-6255",
            "fax_number": "734-677-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUCHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "517-545-6255",
        "authorized_official_credential": "CRNA,MS"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704191640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.