Venvisor Health Michigan LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VENVISOR HEALTH MICHIGAN LLC

Practice address

400 Renaissance Ctr Ste 200
Detroit, MI 48243-1502

Phone

(203) 567-5243

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Jacki Malden

Title

VP of Regional Operations

Phone

(203) 567-5243

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1528695624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2533",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064848533",
            "telephone_number": "203-567-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE CTR STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431502",
            "telephone_number": "203-567-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENVISOR HEALTH MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "MALDEN",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "VP OF REGIONAL OPERATIONS",
        "authorized_official_telephone_number": "203-567-5243"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejashri Venkatesh, MD
• Malini Venkatram, MD .
• Monkishia A Venson
• Jakara T Ventour
• Venus Staffing LLC
• Beth Ellen Ver Kuilen, CRNA
• Colleen Kathryn Verb, M.D.
• Colleen Beth Verbeke, MA, LLP
• Yurisader Verdecia-Perez
• Deshawn Verdell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.