Active NPI
Kristy Mumm, RN
- Registered Nurse
- Farmington Hills, MI
National Provider Identifier
1912614421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704285345
- Practice address
- 28511 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2933 - Phone
- (248) 306-3170
- Fax
- (248) 306-3197
- NPI assigned
- Nov 3, 2022
- 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 | 4704285345 | MI | Primary |
Addresses
Primary practice location
28511 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2933
Mailing address
3324 Healy St
Waterford, MI 48328-4751
Phone (248) 787-3025
Other practice location 1
25285 W 11 Mile Rd
Southfield, MI 48033-2276
Phone (248) 849-9988
Other practice location 2
32715 Grand River Ave
Farmington, MI 48336-3113
Phone (248) 427-1310
Other practice location 3
25911 Middlebelt Rd
Farmington Hills, MI 48336-1402
Phone (248) 471-9580
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704285345 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1912614421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 HEALY ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483284751",
"telephone_number": "248-787-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28511 ORCHARD LAKE RD STE A",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342933",
"telephone_number": "248-306-3170",
"fax_number": "248-306-3197"
}
],
"practiceLocations": [
{
"address_1": "25285 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480332276",
"country_code": "US",
"telephone_number": "248-849-9988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32715 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MI",
"postal_code": "483363113",
"country_code": "US",
"telephone_number": "248-427-1310",
"fax_number": "248-427-1309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25911 Middlebelt Rd",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483361402",
"country_code": "US",
"telephone_number": "248-471-9580",
"fax_number": "248-471-9540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUMM",
"first_name": "KRISTY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704285345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.