Kirsten Marie Podvin, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704328121 Issued in MI

Practice address

172 Dourdan
Bloomfield Hills, MI 48304-1737

Phone

(248) 495-1764

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consultants in Ophthalmic & Facial Plastic Surgery

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1144256777

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1912512849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 DOURDAN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 DOURDAN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041737",
            "telephone_number": "248-495-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 N Rochester Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483071188",
            "country_code": "US",
            "telephone_number": "248-495-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODVIN",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "06201513",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704328121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Place, OD
• Mark A Pleatman, M.D.
• Patricia Ann Plopa, PH.D.
• PMN Consulting Inc
• Pocs Counseling and Psychiatric Services PC
• Michael Pointe, PA
• Natalie R Popkey, OT
• Melissa Kimberly Porembiak, MA, LPC, NCC
• David Samuel Portney, MD
• Lorrie Anne Posegay, A.P.R.N.

• Primary Care Nurse Practitioner in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.