Active NPI
Cortarrius Wiley
- Licensed Practical Nurse
- Saginaw, MI
National Provider Identifier
1578477519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703131701
- Practice address
- 5784 Olive Tree Dr
Saginaw, MI 48603-3555 - Phone
- (989) 412-5034
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703131701 | MI | Primary |
Addresses
Primary practice location
5784 Olive Tree Dr
Saginaw, MI 48603-3555
Mailing address
5784 Olive Tree Dr
Saginaw, MI 48603-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1578477519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5784 OLIVE TREE DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5784 OLIVE TREE DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033555",
"telephone_number": "989-412-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "CORTARRIUS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703131701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.