Individual provider Active NPI

Donna Jean Thurn, NPC

  • Family Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1306934385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704162747 Issued in MI
Practice address
1634 Gull Rd
Suite 103
Kalamazoo, MI 49048-1632
Phone
(269) 341-9200
Fax
(269) 341-4197
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704162747 MI Primary

Addresses

Primary practice location

1634 Gull Rd
Suite 103
Kalamazoo, MI 49048-1632

Mailing address

1634 Gull Rd
Suite 103
Kalamazoo, MI 49048-1632
Phone (269) 341-9200

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704162747MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306934385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 GULL RD",
            "address_2": "SUITE 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481632",
            "telephone_number": "269-341-9200",
            "fax_number": "269-341-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 GULL RD",
            "address_2": "SUITE 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481632",
            "telephone_number": "269-341-9200",
            "fax_number": "269-341-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURN",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704162747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.