Nicole Ann Epperly, L.L.B.S.W.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6802086113 Issued in MI

Practice address

515 S Parker St
#D
Marine City, MI 48039-3572

Phone

(810) 765-5010

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1588853501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 SMITHS CREEK RD",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480744018",
            "telephone_number": "810-347-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S PARKER ST",
            "address_2": "#D",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393572",
            "telephone_number": "810-765-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERLY",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "L.L.B.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6802086113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Marine City, MI
• Providers in Marine City, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.