Individual provider Active NPI

Brandy Jo Krikke, LPN

  • Foster Care Agency
  • Big Rapids, MI
National Provider Identifier
1861153074
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
AF370407894 Issued in MI
Practice address
9570 12 Mile Rd
Big Rapids, MI 49307-9603
Phone
(231) 660-3964
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X AF370407894 MI Primary

Addresses

Primary practice location

9570 12 Mile Rd
Big Rapids, MI 49307-9603

Mailing address

9570 12 Mile Rd
Big Rapids, MI 49307-9603
Phone (231) 660-3964

Other identifiers 1

IdentifierTypeStateIssuer
0724012120051983MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL bigrapids Health Information Exchange (HIE)
Other URL bigrapids Health Information Exchange (HIE)

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
AF370407894MIMDFoster Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1861153074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 12 MILE RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079603",
            "telephone_number": "231-660-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 12 MILE RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079603",
            "telephone_number": "231-660-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIKKE",
        "first_name": "BRANDY",
        "middle_name": "JO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AF370407894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0724012120051983",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bigrapids",
            "affiliation": "N",
            "endpointDescription": "houseofpeacewinnrd@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9570 12 Mile Rd",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493079603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bigrapids",
            "affiliation": "N",
            "endpointDescription": "houseofpeacewinnrd@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9570 12 Mile Rd",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493079603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.