NPIMap

Organization Active NPI

Access Housecall

  • Adult Health Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1811384308
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704277414 Issued in MI
Legal business name
ACCESS HOUSECALL
Practice address
3408 Miller Rd
Ste 369
Kalamazoo, MI 49001-4111
Phone
(888) 587-9444
Fax
(888) 541-5546
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Amelia Fajardo, M.D.
Title
Medical Director
Phone
(888) 587-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704277414 MI Primary

Addresses

Primary practice location

3408 Miller Rd
Ste 369
Kalamazoo, MI 49001-4111

Mailing address

3408 Miller Rd
Ste 369
Kalamazoo, MI 49001-4111
Phone (888) 587-9444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1811384308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 MILLER RD",
            "address_2": "STE 369",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014111",
            "telephone_number": "888-587-9444",
            "fax_number": "888-541-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 MILLER RD",
            "address_2": "STE 369",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014111",
            "telephone_number": "888-587-9444",
            "fax_number": "888-541-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HOUSECALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "888-587-9444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704277414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.