Mick Allen Preston Jr., RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704359441 Issued in MI

Practice address

2775 E Lansing Dr
East Lansing, MI 48823-7755

Phone

(517) 332-1616

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1740737162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237755",
            "telephone_number": "517-332-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237755",
            "telephone_number": "517-332-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MICK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "3203057152",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704359441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preecha Supanwanid MD PC
• Preecha Supanwanid, MD PC
• Premier Counseling and Wellness Institute
• Prestige Mindsets Counseling
• Kimberly Preston
• Lino Tusten Pretto, LMT
• Prevention and Training Services Inc.
• Addison M Price, MA, CCC-SLP/L
• Elizabeth Irene Price, NP
• Brandon Prochazka

• Registered Nurse in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.