Active NPI
Barbara Jane Putman, CPNP-PC
- Pediatric Nurse Practitioner
- Chelsea, MI
National Provider Identifier
1437866571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704304104
- Practice address
- 14288 E. Old US 12
Suite 100
Chelsea, MI 48118-1889 - Phone
- (734) 475-9175
- NPI assigned
- Oct 28, 2022
- Last updated
- Jan 5, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704304104 | MI | Primary |
Addresses
Primary practice location
14288 E. Old US 12
Suite 100
Chelsea, MI 48118-1889
Mailing address
4936 W Clark Rd Ste 101
Ypsilanti, MI 48197-0861
Phone (734) 434-3000
Other names 1
- Barbara Jane Gutmann
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704304104 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Pediatrics | Past | Accepting new patients |
| Iha Health Services Corporation | Past | Accepting new patients |
Interoperability endpoints
- bputman701585@direct.trinity-health.org
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.
-
dba Trinity Health IHA Medical Group Pediatrics
- Pediatrics Physician
- Ann Arbor, MI
- NPI 1417004003
-
dba IHA Milan Primary Care
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1437866571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4936 W CLARK RD STE 101",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481970861",
"telephone_number": "734-434-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14288 E. OLD US 12",
"address_2": "SUITE 100",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481181889",
"telephone_number": "734-475-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTMAN",
"first_name": "BARBARA",
"middle_name": "JANE",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-28",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704304104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "GUTMANN",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chelsea, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.