Individual provider Active NPI

Barbara Denison, RN

  • Registered Nurse
  • Grand Rapids, MI
National Provider Identifier
1699192047
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704144460 Issued in MI
Practice address
2100 Raybrook St SE
Suite 203
Grand Rapids, MI 49546-7759
Phone
(616) 954-3350
Fax
(616) 954-1520
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704144460 MI Primary

Addresses

Primary practice location

2100 Raybrook St SE
Suite 203
Grand Rapids, MI 49546-7759

Mailing address

2100 Raybrook St SE
Suite 203
Grand Rapids, MI 49546-7759
Phone (616) 954-3350

Other identifiers 1

IdentifierTypeStateIssuer
4704144460OtherMIBOARD OF NURSING

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
4704144460MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1699192047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE",
            "address_2": "SUITE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467759",
            "telephone_number": "616-954-3350",
            "fax_number": "616-954-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE",
            "address_2": "SUITE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467759",
            "telephone_number": "616-954-3350",
            "fax_number": "616-954-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISON",
        "first_name": "BARBARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704144460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "4704144460",
            "state": "MI"
        }
    ],
    "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 Mar 24, 2014; 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.