Active NPI
Keystone Infusion LLC
- Nurse Practitioner
- East Lansing, MI
National Provider Identifier
1740726546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- KEYSTONE INFUSION LLC
- Practice address
- 6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224 - Phone
- (517) 339-1676
- NPI assigned
- Jan 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Title
- Title
- Owner
- Phone
- (419) 708-7378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224
Mailing address
2517 Bentley CT
East Lansing, MI 48823-2972
Phone (517) 339-1676
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484611200000",
"number": "1740726546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 BENTLEY CT",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232972",
"telephone_number": "517-339-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 PINE HOLLOW DR STE 400",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239224",
"telephone_number": "517-339-1676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE INFUSION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A",
"authorized_official_last_name": "TITLE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-708-7378"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.