Active NPI
Susan Harrington
- Chore Provider
- Jackson, MI
National Provider Identifier
1558098319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 1203 1St St Ste 504
Jackson, MI 49203-3034 - Phone
- (517) 257-2511
- Fax
- (888) 323-2176
- NPI assigned
- Aug 2, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MI | ||
| Driver | 172A00000X | MI | ||
| Chore Provider | 372500000X | MI | Primary |
Addresses
Primary practice location
1203 1St St Ste 504
Jackson, MI 49203-3034
Mailing address
1203 1St St Ste 504
Jackson, MI 49203-3034
Phone (517) 257-2511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88-3529237 | Medicaid | MI | |
| V250778585356 | Medicaid | MI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1558098319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 1ST ST STE 504",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033034",
"telephone_number": "517-257-2511",
"fax_number": "888-323-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 1ST ST STE 504",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033034",
"telephone_number": "517-257-2511",
"fax_number": "888-323-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRINGTON",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88-3529237",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "V250778585356",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.