Individual provider Active NPI

Kathy L Field, L.P.N.

  • Licensed Practical Nurse
  • Jackson, MI
National Provider Identifier
1568670552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703051742 Issued in MI
Practice address
1949 Lansing Ave
Suite 'B'
Jackson, MI 49202-2190
Phone
(517) 784-2929
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703051742 MI Primary

Addresses

Primary practice location

1949 Lansing Ave
Suite 'B'
Jackson, MI 49202-2190

Mailing address

8085 Dixon Rd
Rives Junction, MI 49277-9685

Other identifiers 1

IdentifierTypeStateIssuer
4703051742OtherMILPN LICENSE

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

State licenses

LicenseStateTypeSpecialty
4703051742MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Clinical Services III LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568670552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 DIXON RD",
            "city": "RIVES JUNCTION",
            "state": "MI",
            "postal_code": "492779685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 LANSING AVE",
            "address_2": "SUITE 'B'",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022190",
            "telephone_number": "517-784-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "KATHY",
        "middle_name": "L",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703051742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "4703051742",
            "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 Jul 8, 2007; 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.