Individual provider Active NPI

Marie Elizabeth Abbott Johns, LPN

  • Licensed Practical Nurse
  • Maple City, MI
National Provider Identifier
1811196835
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703095454 Issued in MI
Practice address
1782 W Burdickville Rd
Maple City, MI 49664-9550
Phone
(231) 218-0151
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703095454 MI Primary

Addresses

Primary practice location

1782 W Burdickville Rd
Maple City, MI 49664-9550

Mailing address

1782 W Burdickville Rd
Maple City, MI 49664-9550
Phone (231) 218-0151

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

State licenses

LicenseStateTypeSpecialty
4703095454MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1811196835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 W BURDICKVILLE RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496649550",
            "telephone_number": "231-218-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 W BURDICKVILLE RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496649550",
            "telephone_number": "231-218-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT JOHNS",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703095454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.