Nanci Lynne Lubinsk, B.A.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF700355378 Issued in MI

Practice address

14861 Blair St
Holland, MI 49424

Phone

(616) 836-2601

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Nanci Lynne Van Kampen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1437448552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14861 BLAIR ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248493",
            "telephone_number": "616-836-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14861 BLAIR ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-836-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495482319",
            "country_code": "US",
            "telephone_number": "616-248-5157",
            "fax_number": "616-243-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBINSK",
        "first_name": "NANCI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF700355378",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "VAN KAMPEN",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler James Loveless, MSN
• Benjamin Lowe
• Matthew J Lowe, LMSW
• Jaclynn Lea Lubbers, CPNP
• Jayne A Lubbers, LMSW
• Carli Luce, LMSW
• Michael C Luce, LMSW
• Maxwell Luciano
• John Ludlow, MD
• Julia Ludwig, CNM

• Adult Care Home Facility in Holland, MI
• Providers in Holland, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.