Active NPI
Kathryn Jean Niemeyer, NP
- Nurse Practitioner
- Ludington, MI
National Provider Identifier
1487734364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5008703470
- Practice address
- 5 Atkinson Drive
Suite #207
Ludington, MI 49431 - Phone
- (231) 843-3600
- Fax
- (231) 845-9887
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5008703470 | MI | Primary |
Addresses
Primary practice location
5 Atkinson Drive
Suite #207
Ludington, MI 49431
Mailing address
5 Atkinson Drive
Suite #207
Ludington, MI 49431
Phone (231) 843-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC1085 | Other | MI | RAILROAD MEDICARE |
| 5008703470 | Other | MI | BC BS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008703470 | MI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487734364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ATKINSON DRIVE",
"address_2": "SUITE #207",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "49431",
"telephone_number": "231-843-3600",
"fax_number": "231-845-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ATKINSON DRIVE",
"address_2": "SUITE #207",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "49431",
"telephone_number": "231-843-3600",
"fax_number": "231-845-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMEYER",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "5008703470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC1085",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "5008703470",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.