Carah Beth Lemmen

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704307169 Issued in MI

Practice address

2680 W Centre Ave
Portage, MI 49024-4828

Phone

(269) 324-2400

NPI assigned

Sep 29, 2018

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Grandville Pediatrics, P.C.

  • Pediatrics Physician
  • Grandville, MI
  • NPI 1518931732
  NPD (past)

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1679058218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 TRACY TRAIL",
            "city": "DOOR",
            "state": "MI",
            "postal_code": "49323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244828",
            "telephone_number": "269-324-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5629 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490091952",
            "country_code": "US",
            "telephone_number": "269-372-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMMEN",
        "first_name": "CARAH",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704307169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leisure Living Management of Portage, Inc. (Fountain View of Portage - Laboratory)
• Tori Ann Leiter, LLPC
• Valerie Justine Leith
• Paul Leitz
• Harry John Lekosiotis, P.T.
• Kathleen L Lemmen, M.D.
• Ryane Valerie Leppard, MSPT
• Brady Lesher
• Lance Letourneau, ATC, AT, LAT
• Heather Nicole Lettow, M.A.,, LPC, LMFT

• Pediatric Nurse Practitioner in Portage, MI
• Providers in Portage, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.