Active NPI
Kimberly Burton-Creech, RN
- Registered Nurse
- Brighton, MI
National Provider Identifier
1649775099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704178294
- Practice address
- 7972 Claiborne Dr
Brighton, MI 48114-7352 - Phone
- (517) 242-0838
- NPI assigned
- Mar 28, 2018
- Last updated
- Mar 28, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704178294 | MI | Primary |
Addresses
Primary practice location
7972 Claiborne Dr
Brighton, MI 48114-7352
Mailing address
1853 R W Berends Dr SW
Wyoming, MI 49519-4955
Phone (616) 534-9300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704178294 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Home Health Care Services, Inc. | Past | Accepting new patients | |
| Lakeshore Home Health Care Services, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Muskegon, MI
- NPI 1588416200
-
dba Tender Loving Care Staffing
- Home Health Agency
- Muskegon, MI
- NPI 1669596284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1649775099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1853 R W BERENDS DR SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495194955",
"telephone_number": "616-534-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7972 CLAIBORNE DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147352",
"telephone_number": "517-242-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON-CREECH",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704178294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.