Individual provider Active NPI

Anastasia Housewright

  • Licensed Practical Nurse
  • Ann Arbor, MI
National Provider Identifier
1639565567
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703103751 Issued in MI
Practice address
4965 Pitch Pine Lane West
Apt 2B
Ann Arbor, MI 48194
Phone
(517) 442-2829
NPI assigned
Apr 7, 2015
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703103751 MI Primary

Addresses

Primary practice location

4965 Pitch Pine Lane West
Apt 2B
Ann Arbor, MI 48194

Mailing address

302 Wood St
Stockbridge, MI 49285-9571
Phone (517) 442-2829

Other names 1

  • Anastasia Bausman Former name

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

LicenseStateTypeSpecialty
4703103751MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1639565567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WOOD ST",
            "city": "STOCKBRIDGE",
            "state": "MI",
            "postal_code": "492859571",
            "telephone_number": "517-442-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 PITCH PINE LANE WEST",
            "address_2": "APT 2B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48194",
            "telephone_number": "517-442-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEWRIGHT",
        "first_name": "ANASTASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703103751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "BAUSMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.