Organization Active NPI

Nursepro Nursing Services

  • Administrator Registered Nurse
  • Saint Johns, MI
National Provider Identifier
1578614251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
4704158350 Issued in MI
Legal business name
NURSEPRO NURSING SERVICES
Practice address
6694 N Forest Hill Rd
Saint Johns, MI 48879-9731
Phone
(989) 682-4037
Fax
(989) 682-4037
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Vivian Kay Bailey, RN, BS, BSN
Title
Ceo, President
Phone
(989) 682-4037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA2000X 4704158350 MI Primary

Addresses

Primary practice location

6694 N Forest Hill Rd
Saint Johns, MI 48879-9731

Mailing address

6694 N Forest Hill Rd
Saint Johns, MI 48879-9731
Phone (989) 682-4037

Other identifiers 1

IdentifierTypeStateIssuer
0004359129MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578614251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6694 N FOREST HILL RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799731",
            "telephone_number": "989-682-4037",
            "fax_number": "989-682-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6694 N FOREST HILL RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799731",
            "telephone_number": "989-682-4037",
            "fax_number": "989-682-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSEPRO NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "989-682-4037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BS, BSN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704158350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004359129",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.