Kathryn S. Bizek, MSN, ACNS-BC,CCRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704136254 Issued in MI

Practice address

2215 Fuller Rd # 111a
Ann Arbor, MI 48105-2303

Phone

(734) 222-7828

Fax

(734) 845-3296

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1669685665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD # 111A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-222-7828",
            "fax_number": "313-916-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD # 111A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-222-7828",
            "fax_number": "734-845-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZEK",
        "first_name": "KATHRYN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "MSN, ACNS-BC,CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MI",
            "license": "4704136254",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704136254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markus Bitzer, M.D.
• Dale Lee Bixby, MD
• Jill Elizabeth Bixler, MD
• Lindsey M Bixler, NP
• Logan Bixman Surmont, PHARMD, RPH
• Aura Blach, LLBSW
• Alesha Fallon-Carter Black, LPC
• Christina Black
• Danielle Rose Black
• Devon Black

• All providers in Ann Arbor, MI
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.