Individual provider Active NPI

Stacia Marie Typpi, FNP-C

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1477460350
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08260916 Issued in MI
Practice address
3620 Hawthorn Dr
Jackson, MI 49201-7046
Phone
(517) 392-6881
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08260916 MI Primary

Addresses

Primary practice location

3620 Hawthorn Dr
Jackson, MI 49201-7046

Mailing address

3620 Hawthorn Dr
Jackson, MI 49201-7046
Phone (517) 392-6881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1477460350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HAWTHORN DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017046",
            "telephone_number": "517-392-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HAWTHORN DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017046",
            "telephone_number": "517-392-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYPPI",
        "first_name": "STACIA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F08260916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.