Individual provider Active NPI

Arlene Dekam, RN BSN CHPN

  • Registered Nurse
  • Grand Rapids, MI
National Provider Identifier
1487102422
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704271974 Issued in MI
Practice address
1514 Wealthy St SE
Suite 270
Grand Rapids, MI 49506-2762
Phone
(616) 243-7080
Fax
(616) 988-0171
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704271974 MI Primary

Addresses

Primary practice location

1514 Wealthy St SE
Suite 270
Grand Rapids, MI 49506-2762

Mailing address

1514 Wealthy St SE
Suite 270
Grand Rapids, MI 49506-2762
Phone (616) 243-7080

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704271974MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Supportive Care, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1487102422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "address_2": "SUITE 270",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062762",
            "telephone_number": "616-243-7080",
            "fax_number": "616-988-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "address_2": "SUITE 270",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062762",
            "telephone_number": "616-243-7080",
            "fax_number": "616-988-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKAM",
        "first_name": "ARLENE",
        "credential": "RN BSN CHPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704271974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.