Susan Deann Brunke, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704157716 Issued in MI

Practice address

372 Chalfonte Ave
Grosse Pointe Farms, MI 48236-2910

Phone

(313) 885-6696

Fax

(313) 885-6696

NPI assigned

Dec 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1700207859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CHALFONTE AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482362910",
            "telephone_number": "313-885-6696",
            "fax_number": "313-885-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 CHALFONTE AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482362910",
            "telephone_number": "313-885-6696",
            "fax_number": "313-885-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKE",
        "first_name": "SUSAN",
        "middle_name": "DEANN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704157716",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704157716",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MI",
            "license": "4704157716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN RN LICENSE",
            "identifier": "4704157716",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Brenton, RRT
• Brian Powers, Ma LLP PC
• Antisha Brown, LMT
• Susan Browne, MSW
• Ashley Joyce Bruce, AUD
• Michael Robert Burd
• Kimberly L Callewaert, PT, DPT
• Kylie Capps, LLMSW
• Carlyle Center LLC
• CB Senior Home Care LLC

• Home Health Registered Nurse in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.