Individual provider Active NPI

Jamie Tooles, FNP

  • Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1316336928
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN282461 Issued in GA
Practice address
840 Fred St Apt 21
Lansing, MI 48911-3982
Phone
(517) 928-3045
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704337211 MI
Licensed Practical Nurse 164W00000X 4703113415 MI
Nurse Practitioner 363L00000X RN282461 GA Primary

Addresses

Primary practice location

840 Fred St Apt 21
Lansing, MI 48911-3982

Mailing address

3863 Highway 138 SE # 1426
Stockbridge, GA 30281-4143
Phone (517) 928-3045

Other practice location 1

34328 Clinton Plaza Dr
Clinton Township, MI 48035-3341
Phone (972) 589-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250620000051 GA Practitioner - Nurse Practitioner 7012429608 Reassigns benefits to 1 organization
I20250620003521 MI Practitioner - Nurse Practitioner 7012429608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704337211MIMDRegistered Nurse
4703113415MIMDLicensed Practical Nurse
RN282461GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 17, 2025 Accepting new patients
Quality First Care, LLC CurrentSince Sep 20, 2020 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1316336928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 HIGHWAY 138 SE # 1426",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814143",
            "telephone_number": "517-928-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FRED ST APT 21",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113982",
            "telephone_number": "517-928-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34328 Clinton Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480353341",
            "country_code": "US",
            "telephone_number": "972-589-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOOLES",
        "first_name": "JAMIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704337211",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703113415",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN282461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.