Active NPI
Elizabeth A Read, NP
- Nurse Practitioner
- Grand Rapids, MI
National Provider Identifier
1629220793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704235014
- Practice address
- 145 Michigan St NE
Suite 5500
Grand Rapids, MI 49503-2562 - Phone
- (616) 974-4820
- Fax
- (616) 974-4843
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704235014 | MI | Primary |
Addresses
Primary practice location
145 Michigan St NE
Suite 5500
Grand Rapids, MI 49503-2562
Mailing address
4085 Burton St SE
Suite 200
Grand Rapids, MI 49546-2444
Phone (616) 974-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704235014 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
Interoperability endpoints
- elizabeth.read.2@28492.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1073567806
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1629220793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4085 BURTON ST SE",
"address_2": "SUITE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462444",
"telephone_number": "616-974-4466",
"fax_number": "616-974-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MICHIGAN ST NE",
"address_2": "SUITE 5500",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032562",
"telephone_number": "616-974-4820",
"fax_number": "616-974-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READ",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704235014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.