Judith Ann Kaszyca, NURSE PRACTITONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704103116 Issued in MI

Practice address

3532 Main St
Deckerville, MI 48427-9615

Phone

(810) 376-3100

Fax

(810) 376-8311

NPI assigned

Jul 18, 2006

Last updated

Jul 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Healthcare Network, PC

  • Urgent Care Clinic/Center
  • Marysville, MI
  • NPI 1093921074
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1619995503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 MAIN ST",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484279615",
            "telephone_number": "810-376-3100",
            "fax_number": "810-376-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 MAIN ST",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484279615",
            "telephone_number": "810-376-3100",
            "fax_number": "810-376-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASZYCA",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704103116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18073",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pany Decossard, M.D.
• Carrie V Eugster, NP-C
• For the Family Counseling Service PLLC
• Levi L Guerrero, M.D.
• Thomas I Hazelton, DDS
• Levi L. Guerrero, MD, PC
• Aram J Makkinejad
• Malorie McVittie, M.D.
• Nicole Miller
• Dana Nichol

• Adult Health Nurse Practitioner in Deckerville, MI
• Providers in Deckerville, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.