The Regents of the University of Michigan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704169272 Issued in MI

Legal business name

THE REGENTS OF THE UNIVERSITY OF MICHIGAN

Doing business as

UM Nurse Managed Centers/North Campus

Practice address

2364 Bishop
Ann Arbor, MI 48105

Phone

(734) 647-1636

Fax

(734) 763-9634

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J Fabiana Johnson

Title

Director Professional Fee Billing

Phone

(734) 647-5167

Specialties & licenses 7

Addresses

Other identifiers 7

Other names 1

• UM Nurse Managed Centers/North Campus Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Regents of the University of Michigan

  • Nurse Practitioner
  • Brighton, MI
  • NPI 1225053895

  O20031121000371

  Same enrollment
• Regents of the University of Michigan

  • Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1447275102

  O20031121000371

  Same enrollment
• Regents of the University of Michigan

  • Psychologist
  • Ann Arbor, MI
  • NPI 1568487130

  O20031121000371

  Same enrollment
• Regents of the University of Michigan

  • Clinical Psychologist
  • Brighton, MI
  • NPI 1669728093

  O20031121000371

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Joy Bennett, MS FNP

  • Family Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1316056005
  NPD (past)
• Megan Jill Eagle, APRN-BC, MSN, FNP

  • Family Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1962509539
  NPD (past)
• Elizabeth Kathleen Kuzma, NP

  • Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1417100538
  NPD (past)
• Sherry Lynn Nelson, FNP

  • Family Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1568569101
  NPD (past)
• Elizabeth Ann Orlowski, NP

  • Family Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1457313272
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1811144496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 BISHOP",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-647-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 BISHOP",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-647-1636",
            "fax_number": "734-763-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENTS OF THE UNIVERSITY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "FABIANA",
        "authorized_official_title_or_position": "DIRECTOR PROFESSIONAL FEE BILLING",
        "authorized_official_telephone_number": "734-647-5167"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704106646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704134489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704192578",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704196737",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704206913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704121969",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704169272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1053589325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1104935824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1316056005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1265589626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1871621078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1962509539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1083708200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UM Nurse Managed Centers/North Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Lee Center
• The Lenacare Group LLC (LenaCare Group)
• The Mih Group, LLC (Rapunzels Lice Boutique)
• The Open Road Collective LLC
• The Recovery Lab PLLC
• The Safe Calm Place PLLC
• The Women's Center of Southeastern Michigan
• Kaitlin Ann Theder-Schmidt, CCC-SLP
• Arik Casteel Theeke, RN
• Mary E Theisen-Goodvich, PHD

• Family Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.