Active NPI
Fleuvio Jean, LPN
- Licensed Practical Nurse
- Grand Rapids, MI
National Provider Identifier
1972805687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703119527
- Practice address
- 2301 Valleywood Dr SE
G6
Grand Rapids, MI 49546-5707 - Phone
- (845) 520-1732
- Fax
- (845) 520-5042
- NPI assigned
- Dec 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 301917 | NY | |
| Licensed Practical Nurse | 164W00000X | 4703119527 | MI | Primary |
Addresses
Primary practice location
2301 Valleywood Dr SE
G6
Grand Rapids, MI 49546-5707
Mailing address
2301 Valleywood Dr SE
G6
Grand Rapids, MI 49546-5707
Phone (845) 520-1732
Other practice location 1
234 kenedy, dr
spring valley, NY 10977
Phone (845) 459-9150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703119527 | MI | MD | Licensed Practical Nurse |
| 301917 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972805687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 VALLEYWOOD DR SE",
"address_2": "G6",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465707",
"telephone_number": "845-520-1732",
"fax_number": "845-520-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 VALLEYWOOD DR SE",
"address_2": "G6",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465707",
"telephone_number": "845-520-1732",
"fax_number": "845-520-5042"
}
],
"practiceLocations": [
{
"address_1": "234 kenedy, dr",
"address_purpose": "LOCATION",
"city": "spring valley",
"state": "NY",
"postal_code": "10977",
"country_code": "US",
"telephone_number": "845-459-9150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN",
"first_name": "FLEUVIO",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "301917",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703119527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.