Active NPI
Connie Elaine Wines, BS, ADN
- Registered Nurse
- Bay City, MI
National Provider Identifier
1356526289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704169941
- Practice address
- 900 E North Union St
Bay City, MI 48706-3779 - Phone
- (989) 894-2060
- NPI assigned
- Jan 9, 2008
- Last updated
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704169941 | MI | Primary |
Addresses
Primary practice location
900 E North Union St
Bay City, MI 48706-3779
Mailing address
900 E North Union St
Bay City, MI 48706-3779
Phone (989) 894-2060
Other names 1
- Miss Connie Elaine Burless
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704169941 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1356526289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E NORTH UNION ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487063779",
"telephone_number": "989-894-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E NORTH UNION ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487063779",
"telephone_number": "989-894-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINES",
"first_name": "CONNIE",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "BS, ADN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704169941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "BURLESS",
"middle_name": "ELAINE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.