Active NPI
Linda Kay Cole, PARENT
- Child Intellectual and/or Developmental Disabilities Respite Care
- Jackson, MI
National Provider Identifier
1992033088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- 385HR2060X
- Practice address
- 171 Lauri Cir
Jackson, MI 49203-6121 - Phone
- (517) 768-8959
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 385HR2060X | MI | Primary |
Addresses
Primary practice location
171 Lauri Cir
Jackson, MI 49203-6121
Mailing address
171 Lauri Cir
Jackson, MI 49203-6121
Phone (517) 768-8959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38708672 | Medicaid | MI |
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 |
|---|---|---|---|
| 385HR2060X | MI | MD | Child Intellectual and/or Developmental Disabilities Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1992033088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 LAURI CIR",
"city": "JACKSON",
"state": "MI",
"postal_code": "492036121",
"telephone_number": "517-768-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 LAURI CIR",
"city": "JACKSON",
"state": "MI",
"postal_code": "492036121",
"telephone_number": "517-768-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "LINDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "PARENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "MI",
"license": "385HR2060X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38708672",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.