Active NPI
Lindsey Marie Ammerman Green, RN
- Registered Nurse
- Marquette, MI
National Provider Identifier
1912344805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704275491
- Practice address
- 722 High St
Marquette, MI 49855-3720 - Phone
- (906) 361-4950
- NPI assigned
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704275491 | MI | Primary |
Addresses
Primary practice location
722 High St
Marquette, MI 49855-3720
Mailing address
1630 Engman Lake Rd
Skandia, MI 49885-9571
Phone (734) 578-7859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704275491 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1912344805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 ENGMAN LAKE RD",
"city": "SKANDIA",
"state": "MI",
"postal_code": "498859571",
"telephone_number": "734-578-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 HIGH ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553720",
"telephone_number": "906-361-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LINDSEY",
"middle_name": "MARIE AMMERMAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704275491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.