Kim Ceccanese, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704150130 Issued in MI

Practice address

135 Barclay Cir
Suite 104
Rochester Hills, MI 48307-4599

Phone

(248) 853-7270

Fax

(248) 853-7230

NPI assigned

Aug 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kim Monacel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endocrine and Metabolic Disorders Center PC

  dba Endocrine and Metabolic Disorders Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Shelby TWP, MI
  • NPI 1114270519
  NPD (past)
• Smita Bijlani MD PC

  dba Rochester Endocrinology & Diabetes Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Rochester Hills, MI
  • NPI 1639105760
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780791954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTENTION: LYNDA THOMPSON",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BARCLAY CIR",
            "address_2": "SUITE 104",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074599",
            "telephone_number": "248-853-7270",
            "fax_number": "248-853-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCANESE",
        "first_name": "KIM",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704150130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5008666430",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4292496",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "MONACEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.