Jessica Ann Kuncaitis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006614 Issued in MI

Practice address

2120 43Rd St SE
Suite 200
Kentwood, MI 49508-3772

Phone

(616) 455-4114

Fax

(616) 455-4454

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Ann Lowry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.kuncaitis.p1@direct.cherryhealth.nextgenshare.com

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.

• West Michigan Family Medicine-Kentwood, PLC

  • Family Medicine Physician
  • Kentwood, MI
  • NPI 1285826297
  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1578805701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE",
            "address_2": "SUITE 200",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495083772",
            "telephone_number": "616-455-4114",
            "fax_number": "616-455-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE",
            "address_2": "SUITE 200",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495083772",
            "telephone_number": "616-455-4114",
            "fax_number": "616-455-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNCAITIS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOWRY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Marie Kruggel, M.D.
• Daniel A. Kruse, D.D.S., M.S.D.
• Mikayla Kuenzel
• Dawn Kuhn
• Desiree Ann Kuiper
• Diane K. Kutter, BS, LCCE, FACCE
• Glenn Edward Kutzli, MA LPC
• Parker Kwiatkowski
• Jenna Brianne Labrecque, MASTER OF SOCIAL WOR
• Kiet Lam, RPH

• Physician Assistant in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.