Active NPI
Mark Eric Rankin, LMSW, ACSW
- Community Health Worker
- Muskegon, MI
National Provider Identifier
1770741308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 6801085548
- Practice address
- 1435 Peck St
Muskegon, MI 49441-2125 - Phone
- (231) 733-5334
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 6801085548 | MI | Primary |
Addresses
Primary practice location
1435 Peck St
Muskegon, MI 49441-2125
Mailing address
2344 Windy Ridge Dr
Muskegon, MI 49442-1474
Phone (231) 737-6469
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801085548 | MI | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Foot & Ankle Associates P.C. | Past | Accepting new patients | |
| Shoreline Consultation Services | 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.
-
- Case Management Agency
- Muskegon, MI
- NPI 1548272586
-
- Foot Surgery Podiatrist
- Norton Shores, MI
- NPI 1336281542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1770741308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2344 WINDY RIDGE DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494421474",
"telephone_number": "231-737-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412125",
"telephone_number": "231-733-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "MARK",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "LMSW, ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "6801085548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.