Michael Gordon Vliek, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704306893 Issued in MI

Practice address

615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501

Phone

(269) 553-7077

NPI assigned

May 17, 2018

Last updated

May 17, 2018By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1649760497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLIEK",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704306893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170066253",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vituity-Michigan Health Services PC
• Nancy G Vizena
• VJK Corp (Diamond Pharmacy)
• James Alois Vlasicak, M.A., J.D.
• Amy Suzanne Vliek, MSW
• Christine Noel Vlietstra, M.S., O.T.
• Christine R Vlietstra, P.T.
• Lara Kathleen Voglewede, CCC/SLP
• Heidi Vogley
• Dawn L Vollink, LMSW

• Psychiatric/Mental Health Registered Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.