Individual provider Active NPI

Marilyn Kay Eipperle, DNP, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Kaleva, MI
National Provider Identifier
1376610188
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704117524 Issued in MI
Practice address
14394 9 Mile Road
Kaleva, MI 49645-0333
Phone
(231) 362-3460
NPI assigned
Nov 29, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704117524 MI Primary

Addresses

Primary practice location

14394 9 Mile Road
Kaleva, MI 49645-0333

Mailing address

14394 Nine Mile Road
Kaleva, MI 49645-0333

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)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704117524MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1376610188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14394 NINE MILE ROAD",
            "city": "KALEVA",
            "state": "MI",
            "postal_code": "496450333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14394 9 MILE ROAD",
            "city": "KALEVA",
            "state": "MI",
            "postal_code": "496450333",
            "telephone_number": "231-362-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIPPERLE",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "DNP, MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704117524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaleva, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.