Autumn Marie McGovern I

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1484 N M 52
Owosso, MI 48867-1235

Phone

(770) 373-5822

Fax

(248) 712-4381

NPI assigned

Dec 26, 2019

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": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1740829639",
    "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": "616-226-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671235",
            "telephone_number": "770-373-5822",
            "fax_number": "248-712-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "AUTUMN",
        "middle_name": "MARIE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca McCallum, LMT
• Caleb McCarrick
• Tara McCartney, RN
• Bailey McClure
• Tissa McCreery
• Christopher McGraw
• Joelle Lousie McGuire, LMSW
• Tara Marie McKay
• Christina McKone
• McLaren Owosso Cancer Center

• Personal Care Attendant in Owosso, MI
• Providers in Owosso, MI by specialty
• Personal Care Attendant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.