Individual provider Active NPI

Amy Lynn Timoszyk, RN

  • Registered Nurse
  • Plymouth, MI
National Provider Identifier
1972009447
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704255018 Issued in MI
Practice address
44450 Pinetree Dr Ste 203
Plymouth, MI 48170-3869
Phone
(734) 207-8316
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704255018 MI Primary

Addresses

Primary practice location

44450 Pinetree Dr Ste 203
Plymouth, MI 48170-3869

Mailing address

5981 Haggerty Rd
Van Buren TWP, MI 48111-1137
Phone (734) 751-8298

Other identifiers 1

IdentifierTypeStateIssuer
4704255018OtherMIREGISTERED NURSE

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

LicenseStateTypeSpecialty
4704255018MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Staffing Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1972009447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 HAGGERTY RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481111137",
            "telephone_number": "734-751-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44450 PINETREE DR STE 203",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703869",
            "telephone_number": "734-207-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOSZYK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704255018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "4704255018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.