Makenzie Thimm, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

4704259181 Issued in MI

Practice address

39781 Cannon Dr
Harrison TWP, MI 48045-1550

Phone

(586) 634-6825

NPI assigned

May 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: mthimm1155470@direct.hfhs.org

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.

• Henry Ford Health St. John Hospital

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1700831500
  Medicare reassignment

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1437504099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39781 CANNON DR",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480451550",
            "telephone_number": "586-634-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39781 CANNON DR",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480451550",
            "telephone_number": "586-634-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIMM",
        "first_name": "MAKENZIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704259181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sogge, RN
• Spi Senior Living
• St John Harrison Township Urgent Care
• St. John Hospital and Medical Center (St John North Shores Hospital)
• St. John North Shores Emergency Physicians, P.C.
• Rhiannon Rose Vanreyendam, PA-C
• Samantha Varriale
• We Care Home Inc.
• Lisa Dawn Willhite, OTR
• Heather Williams, M.A., LPC

• Critical Care Medicine Registered Nurse in Harrison TWP, MI
• Providers in Harrison TWP, MI by specialty
• Critical Care Medicine Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.