Active NPI
Embree Embracing Quality Care 'at Your Front Door'
- Adult Health Nurse Practitioner
- Grand Rapids, MI
National Provider Identifier
1811437817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704267596
- Legal business name
- EMBREE EMBRACING QUALITY CARE 'AT YOUR FRONT DOOR'
- Practice address
- 1735 Woodward Ave SE
Grand Rapids, MI 49506-4531 - Phone
- (616) 540-8255
- NPI assigned
- Feb 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela L Embree, AGPCNP-C
- Title
- Nurse Practitioner
- Phone
- (616) 540-8255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704267596 | MI | Primary |
Addresses
Primary practice location
1735 Woodward Ave SE
Grand Rapids, MI 49506-4531
Mailing address
1735 Woodward Ave SE
Grand Rapids, MI 49506
Phone (616) 540-8255
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1811437817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 WOODWARD AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49506",
"telephone_number": "616-540-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 WOODWARD AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064531",
"telephone_number": "616-540-8255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBREE EMBRACING QUALITY CARE 'AT YOUR FRONT DOOR'",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "EMBREE",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "616-540-8255",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "AGPCNP-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704267596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.