Jacquelyn Rae Rangel

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

6802087096 Issued in MI

Practice address

1755 Delwood Ave SW
Wyoming, MI 49509-5616

Phone

(616) 455-0960

Fax

(616) 455-7324

NPI assigned

Feb 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacquelyn Rae Schwan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1508258971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 DELWOOD AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495095616",
            "telephone_number": "616-455-0690",
            "fax_number": "616-455-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 DELWOOD AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495095616",
            "telephone_number": "616-455-0960",
            "fax_number": "616-455-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "JACQUELYN",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802087096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "SCHWAN",
            "middle_name": "RAE",
            "credential": "LLBSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rci Michigan Inc

• Case Management Agency in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.