Active NPI
Ellen F Lander, MSN, APRN, BC
- Adult Health Nurse Practitioner
- Lansing, MI
National Provider Identifier
1710209218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704198063
- Practice address
- 2316 S Cedar St
Lansing, MI 48910-3152 - Phone
- (517) 887-4302
- Fax
- (517) 887-4437
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704198063 | MI | Primary |
Addresses
Primary practice location
2316 S Cedar St
Lansing, MI 48910-3152
Mailing address
10889 Canterbury LN
Grand Ledge, MI 48837-9478
Phone (517) 887-4467
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704198063 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul N Deweese MD PLC | Past | Accepting new patients | |
| Cristo Rey Community Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- NPI 1700901964
-
- Clinic/Center
- Haslett, MI
- NPI 1942499553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1710209218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10889 CANTERBURY LN",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488379478",
"telephone_number": "517-887-4467",
"fax_number": "517-244-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 S CEDAR ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489103152",
"telephone_number": "517-887-4302",
"fax_number": "517-887-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDER",
"first_name": "ELLEN",
"middle_name": "F",
"credential": "MSN, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704198063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.