Individual provider Active NPI

Carol Osborn Finlayson, FNP

  • Family Nurse Practitioner
  • Allendale, MI
National Provider Identifier
1740264001
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704117969 Issued in MI
Practice address
11315 Edgewater Dr
Allendale, MI 49401-9396
Phone
(616) 895-2000
Fax
(616) 895-2009
NPI assigned
Dec 1, 2005
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704117969 MI Primary

Addresses

Primary practice location

11315 Edgewater Dr
Allendale, MI 49401-9396

Mailing address

11315 Edgewater Dr
Allendale, MI 49401-9396
Phone (616) 895-2000

Other identifiers 1

IdentifierTypeStateIssuer
4682446MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000497 MI Practitioner - Nurse Practitioner 9638135155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704117969MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allendale Family Practice CurrentSince Dec 6, 2004 Accepting new patients

Locations

11315 Edgewater Dr
Allendale, MI 49401
Phone (616) 895-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1740264001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 EDGEWATER DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019396",
            "telephone_number": "616-895-2000",
            "fax_number": "616-895-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 EDGEWATER DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019396",
            "telephone_number": "616-895-2000",
            "fax_number": "616-895-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINLAYSON",
        "first_name": "CAROL",
        "middle_name": "OSBORN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704117969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4682446",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

Verify at the official NPI Registry.