Active NPI
Natalie Jeannine Arnold, P.A.
- Physician Assistant
- Warren, MI
National Provider Identifier
1376859710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601005749
- Practice address
- 11900 E 12 Mile Rd
Suite 110
Warren, MI 48093-3400 - Phone
- (586) 261-1960
- Fax
- (586) 261-1961
- NPI assigned
- Aug 24, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005749 | MI | Primary |
| Medical Physician Assistant | 363AM0700X | 5601005749 | MI |
Addresses
Primary practice location
11900 E 12 Mile Rd
Suite 110
Warren, MI 48093-3400
Mailing address
11900 E 12 Mile Rd
Suite 110
Warren, MI 48093-3400
Phone (586) 261-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200E011770 | Other | MI | BCBS GROUP NUMBER |
Other names 1
- Natalie Varlesi
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601005749 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1376859710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD",
"address_2": "SUITE 110",
"city": "WARREN",
"state": "MI",
"postal_code": "480933400",
"telephone_number": "586-261-1960",
"fax_number": "586-261-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD",
"address_2": "SUITE 110",
"city": "WARREN",
"state": "MI",
"postal_code": "480933400",
"telephone_number": "586-261-1960",
"fax_number": "586-261-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "NATALIE",
"middle_name": "JEANNINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005749",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601005749",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "200E011770",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "VARLESI",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.