Active NPI
Tamara Woidan
- Registered Nurse
- Grand Blanc, MI
National Provider Identifier
1639052194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704298861
- Practice address
- 6449 Fenton Rd Apt 2
Grand Blanc, MI 48507-4774 - Phone
- (989) 306-2321
- NPI assigned
- Jul 30, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704298861 | MI | Primary |
Addresses
Primary practice location
6449 Fenton Rd Apt 2
Grand Blanc, MI 48507-4774
Mailing address
6449 Fenton Rd Apt 2
Grand Blanc, MI 48507-4774
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704298861 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1639052194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6449 FENTON RD APT 2",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "485074774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6449 FENTON RD APT 2",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "485074774",
"telephone_number": "989-306-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOIDAN",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704298861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.