Jennifer Sidel

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4957 Burt Ave
Grand Ledge, MI 48837-1148

Phone

(517) 749-1483

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By 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)

Not enrolled

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1700597754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 BURT AVE",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371148",
            "telephone_number": "517-749-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 BURT AVE",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371148",
            "telephone_number": "517-749-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDEL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna R Shaltry, MA, LPC, CAADC, NCC
• Shawn David Shaltry, LPC
• Tamara Rose Kujawa Shiflett, LMSW
• Karson James Shirey
• Philip R Shriner, DDS
• Christine Ann-Avery Simon, RN
• Polly A Simon, LMT
• Craig Allan Skinner
• Kelly L. Skrzypchak, LMSW
• David J Smith, M.D.

• Home Health Aide in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.