Active NPI
Mackenzie Jane Rohm
- Nurse's Aide
- Grand Rapids, MI
National Provider Identifier
1295667939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 230013600420707
- Practice address
- 4218 Burton St SE
Grand Rapids, MI 49546-6121 - Phone
- (616) 301-8000
- NPI assigned
- May 29, 2026
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 230013600420707 | MI | Primary |
Addresses
Primary practice location
4218 Burton St SE
Grand Rapids, MI 49546-6121
Mailing address
51 Mathews CT NE
Grand Rapids, MI 49505-4919
Phone (616) 291-2219
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 |
|---|---|---|---|
| 230013600420707 | MI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1295667939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MATHEWS CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054919",
"telephone_number": "616-291-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4218 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466121",
"telephone_number": "616-301-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHM",
"first_name": "MACKENZIE",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MI",
"license": "230013600420707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.