Organization Active NPI

Pna LTD.

Doing business as Professional Nursing Associates

  • Nursing Care Agency
  • Muskegon, MI
National Provider Identifier
1952439481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
4364414 Issued in MI
Legal business name
PNA LTD.
Doing business as
Professional Nursing Associates
Practice address
905 W Summit Ave
Muskegon, MI 49441-4049
Phone
(231) 755-7115
Fax
(231) 759-7122
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Stacey Renee Anderson, LMSW
Title
Chief Operating Officer
Phone
(231) 755-7115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 4364414 MI Primary

Addresses

Primary practice location

905 W Summit Ave
Muskegon, MI 49441-4049

Mailing address

905 W Summit Ave
Muskegon, MI 49441-4049
Phone (231) 755-7115

Other identifiers 1

IdentifierTypeStateIssuer
4364414MedicaidMI

Other names 1

  • Professional Nursing Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952439481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414049",
            "telephone_number": "231-755-7115",
            "fax_number": "231-759-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414049",
            "telephone_number": "231-755-7115",
            "fax_number": "231-759-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNA LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "231-755-7115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MI",
            "license": "4364414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4364414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Nursing Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.