Active NPI
Nina Kathleen Siagkris, MSW
- Social Worker
- Cassopolis, MI
National Provider Identifier
1881944072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801062410
- Practice address
- 960 E State St
Cassopolis, MI 49031-9339 - Phone
- (269) 228-5142
- Fax
- (269) 445-3836
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801062410 | MI | Primary |
Addresses
Primary practice location
960 E State St
Cassopolis, MI 49031-9339
Mailing address
601 John St Ste M-202
Kalamazoo, MI 49007-5341
Phone (269) 341-8282
Other practice location 1
601 John St Ste M-020
Kalamazoo, MI 49007
Phone (269) 341-8282
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson HealthCare Group |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801062410 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1881944072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST STE M-202",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E STATE ST",
"city": "CASSOPOLIS",
"state": "MI",
"postal_code": "490319339",
"telephone_number": "269-228-5142",
"fax_number": "269-445-3836"
}
],
"practiceLocations": [
{
"address_1": "601 John St Ste M-020",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "49007",
"country_code": "US",
"telephone_number": "269-341-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIAGKRIS",
"first_name": "NINA",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2021-05-11",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801062410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson HealthCare Group Direct Address",
"affiliationName": "Bronson HealthCare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cassopolis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.