NTL Adult Foster Care

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

NTL ADULT FOSTER CARE

Practice address

1056 Bates St SE
Grand Rapids, MI 49506-2681

Phone

(616) 647-5945

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Johnnie R Tyler

Title

Owner

Phone

(616) 375-9786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1316451065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 BATES ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062681",
            "telephone_number": "616-647-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 BATES ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062681",
            "telephone_number": "616-647-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTL ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-375-9786"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica May Nowicki, MSN, APRN, FNP-C
• Philip Daniel Nowicki, MD
• Nrmi, LLC
• Nrmi, LLC
• Isaac Nshimiye
• Bruce Nugent, MD
• Julia Nuiver, PA-C
• Lohita Nulu, MD
• Diana Lee Nunez
• McKenna Blair Nunn

• Adult Development & Aging Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Development & Aging Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.