Individual provider Active NPI

Briana Wiel

  • Licensed Practical Nurse
  • Kalamazoo, MI
National Provider Identifier
1316773625
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703129745 Issued in MI
Practice address
890 N 10TH St
Kalamazoo, MI 49009-6192
Phone
(888) 527-0012
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703129745 MI Primary

Addresses

Primary practice location

890 N 10TH St
Kalamazoo, MI 49009-6192

Mailing address

890 N 10TH St Ste 110
Kalamazoo, MI 49009-6192
Phone (888) 527-0012

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

LicenseStateTypeSpecialty
4703129745MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Specialized Living New Jersey, Inc. CurrentSince Sep 15, 2024 Accepting new patients

Locations

890 N 10th St
Ste 110
Kalamazoo, MI 49009
Phone (269) 391-3809

890 N 10th St
Kalamazoo, MI 49009
Phone (269) 370-6848

Organizations & group practices 1

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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1316773625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N 10TH ST STE 110",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096192",
            "telephone_number": "888-527-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N 10TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096192",
            "telephone_number": "888-527-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEL",
        "first_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703129745",
            "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 Sep 12, 2024; 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.