Active NPI
Sirri Abinwi Bearss, WHNP
- Women's Health Nurse Practitioner
- Kalamazoo, MI
National Provider Identifier
1932239449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 4704316732
- Practice address
- 1535 Gull Rd
Ste 250
Kalamazoo, MI 49048-1650 - Phone
- (269) 226-5927
- Fax
- (269) 226-7904
- NPI assigned
- Mar 6, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 54720 | NV | |
| Registered Nurse | 163W00000X | 317573 | OH | |
| Women's Health Nurse Practitioner | 363LW0102X | 933 | NV | |
| Women's Health Nurse Practitioner | 363LW0102X | 4704316732 | MI | Primary |
| Nurse Practitioner | 363L00000X | 4704316732 | MI | |
| Registered Nurse | 163W00000X | 192530 | CO | |
| Women's Health Nurse Practitioner | 363LW0102X | 10145 | CO |
Addresses
Primary practice location
1535 Gull Rd
Ste 250
Kalamazoo, MI 49048-1650
Mailing address
5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (269) 552-2836
Other names 1
- Ms. Sirri Abinwi Banda
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 933 | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 10145 | CO | MD | Pediatric Dentist |
| 192530 | CO | MD | Registered Nurse |
| 54720 | NV | MD | Registered Nurse |
| 317573 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1932239449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 STADIUM DR",
"address_2": "STE 1",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093016",
"telephone_number": "269-552-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 GULL RD",
"address_2": "STE 250",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-226-5927",
"fax_number": "269-226-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARSS",
"first_name": "SIRRI",
"middle_name": "ABINWI",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "54720",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "317573",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NV",
"license": "933",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704316732",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704316732",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "192530",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "10145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIRRI",
"last_name": "BANDA",
"middle_name": "ABINWI",
"prefix": "MS.",
"credential": "WHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.