Individual provider Active NPI

Jean Marie Kindermann, N.P.

  • Gerontology Nurse Practitioner
  • Milford, MI
National Provider Identifier
1992271985
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704206667 Issued in MI
Practice address
414 Union St
Ste 100
Milford, MI 48381
Phone
(248) 676-8889
Fax
(248) 685-8039
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704206667 MI Primary
Nurse Practitioner 363L00000X 4704206667 MI

Addresses

Primary practice location

414 Union St
Ste 100
Milford, MI 48381

Mailing address

414 Union St
Ste 100
Milford, MI 48381
Phone (248) 676-8889

Other practice location 1

44000 W 12 Mile Rd Ste 211
Novi, MI 48377-2648
Phone (248) 277-3554

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704206667MIMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jkinderman733470@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1992271985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 UNION ST",
            "address_2": "STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "48381",
            "telephone_number": "248-676-8889",
            "fax_number": "248-685-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 UNION ST",
            "address_2": "STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "48381",
            "telephone_number": "248-676-8889",
            "fax_number": "248-685-8039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44000 W 12 Mile Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772648",
            "country_code": "US",
            "telephone_number": "248-277-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDERMANN",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704206667",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704206667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.