Active NPI
Tina Rosemary Garzella
- Case Manager/Care Coordinator
- Gaylord, MI
National Provider Identifier
1558149575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 403 W Main St Ste B
Gaylord, MI 49735-1887 - Phone
- (989) 732-6448
- Fax
- (989) 731-0670
- NPI assigned
- Sep 20, 2023
- Last updated
- Sep 20, 2023
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
403 W Main St Ste B
Gaylord, MI 49735-1887
Mailing address
PO Box 398
Gaylord, MI 49734-0398
Phone (989) 732-6448
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": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1558149575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497340398",
"telephone_number": "989-732-6448",
"fax_number": "989-731-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W MAIN ST STE B",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351887",
"telephone_number": "989-732-6448",
"fax_number": "989-731-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZELLA",
"first_name": "TINA",
"middle_name": "ROSEMARY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.