Active NPI
Jamie Lynn Noorman, P.A.
- Physician Assistant
- Spring Lake, MI
National Provider Identifier
1386642502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003861
- Practice address
- 601 W Savidge St
Spring Lake, MI 49456-1620 - Phone
- (231) 672-3100
- Fax
- (231) 672-3102
- NPI assigned
- Jul 12, 2005
- Last updated
- Apr 18, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003861 | MI | Primary |
Addresses
Primary practice location
601 W Savidge St
Spring Lake, MI 49456-1620
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-5211
Other names 1
- Jamie Lynn Mead
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 |
|---|---|---|---|
| 5601003861 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1386642502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431848",
"telephone_number": "231-727-5211",
"fax_number": "231-727-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W SAVIDGE ST",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561620",
"telephone_number": "231-672-3100",
"fax_number": "231-672-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORMAN",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "MEAD",
"middle_name": "LYNN",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.