Ann Kathryn Mack, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704131405 Issued in MI

Practice address

138 W Highland Rd Ste 950
Howell, MI 48843-2196

Phone

(517) 545-2400

Fax

(888) 258-0150

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Hospitalist Physicians Medical Group of Michigan, PC

  • Emergency Medicine Physician
  • Saint Joseph, MI
  • NPI 1407618234
  NPD (past)
• Kathleen Knapp DO PC

  • Family Nurse Practitioner
  • Howell, MI
  • NPI 1164807244
  NPD (past)
• Kathleen Knapp, D.O., P.C.

  • Family Medicine Physician
  • Howell, MI
  • NPI 1114121290
  NPD (past)
• Storm Chiropractic, Inc

  • Chiropractor
  • Howell, MI
  • NPI 1568802544
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1508822644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 OAK GROVE RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488557358",
            "telephone_number": "517-546-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD STE 950",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432196",
            "telephone_number": "517-545-2400",
            "fax_number": "888-258-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ANN",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704131405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amack@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "BlueSky Health Direct Message Email",
            "address_1": "138 W Highland Rd Ste 950",
            "city": "Howell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488432196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Suzanne Lunn, LMSW
• Michael K Lurvey, PT
• Luxottica Retail North America Inc
• Terra Lynn
• Dayna Machala, BCABA
• Benjamin Maddock, M.D.
• Jacqueleen Marie Magon, MD
• Lisa D. Maher, LLMSW
• Michelle Hamby Mahnken, NP
• Ericka Makowski, MS CCC-SLP

• Nurse Practitioner in Howell, MI
• Providers in Howell, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.