Annemarie Marwitz Kallenbach, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704256013 Issued in MI

Practice address

777 Kimole LN
Adrian, MI 49221-1478

Phone

(517) 263-5624

NPI assigned

Aug 15, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1285826008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211478",
            "telephone_number": "517-263-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211478",
            "telephone_number": "517-263-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENBACH",
        "first_name": "ANNEMARIE",
        "middle_name": "MARWITZ",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704256013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Roes Hammerle, PH.D., LLC
• Lacey Danielle Jung
• Louise Anne Justus, PHYSICIAN ASSISTANT
• Amanda Kaczmarek
• Savithri Kakani, PAC
• Rebekah Kalnbach
• Kathleen Kane, RN
• Sue Ann Kane, RN, MA, LLPC
• Karen Stafford-May, LLC
• Linda Kay Katt-Wildern, OT

• Adult Health Nurse Practitioner in Adrian, MI
• Providers in Adrian, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.