Individual provider Active NPI

Thomas M Muszynski Sr., RN

  • Case Management Registered Nurse
  • Grand Rapids, MI
National Provider Identifier
1649526880
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
4704161950 Issued in MI
Practice address
1471 Grace St SE
Grand Rapids, MI 49506-1678
Phone
(616) 913-2014
Fax
(616) 913-2005
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4704161950 MI Primary

Addresses

Primary practice location

1471 Grace St SE
Grand Rapids, MI 49506-1678

Mailing address

1471 Grace St SE
Grand Rapids, MI 49506-1678
Phone (616) 913-2014

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704161950MIMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resources Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1649526880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 GRACE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061678",
            "telephone_number": "616-913-2014",
            "fax_number": "616-913-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 GRACE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061678",
            "telephone_number": "616-913-2014",
            "fax_number": "616-913-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSZYNSKI",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704161950",
            "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 Jul 25, 2012; 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.