Active NPI
Advanced Practice Nurse Staffing Associate, LLC
- Gerontology Nurse Practitioner
- Grand Rapids, MI
National Provider Identifier
1336665769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- ADVANCED PRACTICE NURSE STAFFING ASSOCIATE, LLC
- Practice address
- 4448 Koinonia Dr NE
Grand Rapids, MI 49525-9332 - Phone
- (616) 649-3776
- NPI assigned
- Aug 17, 2017
- Organization subpart
- Yes
- Parent organization
- ADVANCED PRACTICE NURSE STAFFING ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gretchen Schumacher, PHD, NP
- Title
- Owner
- Phone
- (616) 649-3776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
4448 Koinonia Dr NE
Grand Rapids, MI 49525-9332
Mailing address
4448 Koinonia Dr NE
Grand Rapids, MI 49525-9332
Other names 1
- Advanced Practice Nurse Staffing Associates, LLC
National Provider Directory
National Provider Directory- Part of
- Advanced Practice Nurse Staffing Associate LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- North Haven, ME
- NPI 1235152935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515542400000",
"number": "1336665769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4448 KOINONIA DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 KOINONIA DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259332",
"telephone_number": "616-649-3776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PRACTICE NURSE STAFFING ASSOCIATE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED PRACTICE NURSE STAFFING ASSOCIATES, LLC",
"enumeration_date": "2017-08-17",
"last_updated": "2018-01-10",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "GRETCHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-649-3776",
"authorized_official_credential": "PHD, NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Practice Nurse Staffing Associates, LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Advanced Practice Nurse Staffing Associates, LLC",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.