Active NPI
Lamuriel Calvin
- Case Manager/Care Coordinator
- Pontiac, MI
National Provider Identifier
1487029591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 54239862
- Practice address
- 195 Prospect St
Pontiac, MI 48341-3037 - Phone
- (248) 818-4216
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 54239862 | MI | |
| Case Manager/Care Coordinator | 171M00000X | 54239862 | MI | Primary |
Addresses
Primary practice location
195 Prospect St
Pontiac, MI 48341-3037
Mailing address
195 Prospect St
Pontiac, MI 48341-3037
Phone (248) 818-4216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54239862 | MI | MD | Dietary Manager |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1487029591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 PROSPECT ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483413037",
"telephone_number": "248-818-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 PROSPECT ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483413037",
"telephone_number": "248-818-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVIN",
"first_name": "LAMURIEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "MI",
"license": "54239862",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "54239862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.