Active NPI
Jeanette Lynn Erno
- Taxi
- Boyne City, MI
National Provider Identifier
1487208708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- E650385564295
- Practice address
- 1548 Sunterra TRL
Boyne City, MI 49712-9025 - Phone
- (231) 459-6711
- NPI assigned
- Jul 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | E650385564295 | MI | Primary |
Addresses
Primary practice location
1548 Sunterra TRL
Boyne City, MI 49712-9025
Mailing address
1548 Sunterra TRL
Boyne City, MI 49712-9025
Phone (231) 459-6711
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 |
|---|---|---|---|
| E650385564295 | MI | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1487208708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 SUNTERRA TRL",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497129025",
"telephone_number": "231-459-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 SUNTERRA TRL",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497129025",
"telephone_number": "231-459-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNO",
"first_name": "JEANETTE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "MI",
"license": "E650385564295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boyne City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.