NPIMap

Organization Active NPI

Midmichigan Visiting Nurse

  • Nurse Practitioner
  • Midland, MI
National Provider Identifier
1962758839
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704176891 Issued in MI
Legal business name
MIDMICHIGAN VISITING NURSE
Practice address
3007 N Saginaw Rd
Midland, MI 48640-4555
Phone
(989) 633-1400
Fax
(989) 633-0752
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Jan Wrzesinski
Title
Patient Accounting Manager
Phone
(989) 633-1486

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801075314 MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801082428 MI
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 4704176891 MI Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 4704179544 MI

Addresses

Primary practice location

3007 N Saginaw Rd
Midland, MI 48640-4555

Mailing address

3007 N Saginaw Rd
Midland, MI 48640-4555
Phone (989) 633-1400

Other names 1

  • MidMichigan Home Care 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": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1962758839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404555",
            "telephone_number": "989-633-1400",
            "fax_number": "989-633-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404555",
            "telephone_number": "989-633-1400",
            "fax_number": "989-633-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDMICHIGAN VISITING NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "WRZESINSKI",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "989-633-1486"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801075314",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082428",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704176891",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704179544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidMichigan Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.