Individual provider Active NPI

Stephanie Ann Kurburski, MSW

  • Case Manager/Care Coordinator
  • Saint Ignace, MI
National Provider Identifier
1780148825
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
Saint Ignace Michigan Hombach Street 49781
Saint Ignace, MI 49782
Phone
(616) 204-0255
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

Saint Ignace Michigan Hombach Street 49781
Saint Ignace, MI 49782

Mailing address

7593 Mission Rd
Alanson, MI 49706-9243
Phone (231) 373-6865

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1780148825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 MISSION RD",
            "city": "ALANSON",
            "state": "MI",
            "postal_code": "497069243",
            "telephone_number": "231-373-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT IGNACE MICHIGAN HOMBACH STREET 49781",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "49782",
            "telephone_number": "616-204-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURBURSKI",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ignace, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.