Active NPI
Michael James Rupert Sr., CNA
- Nurse's Aide
- Newburgh, IN
National Provider Identifier
1992943831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA0505408
- Practice address
- 7099 Woods Dr
Newburgh, IN 47630-1809 - Phone
- (812) 573-9595
- Fax
- (812) 853-5238
- NPI assigned
- Jan 30, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA0505408 | IN | Primary |
Addresses
Primary practice location
7099 Woods Dr
Newburgh, IN 47630-1809
Mailing address
7099 Woods Dr
Newburgh, IN 47630-1809
Phone (812) 573-9595
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 |
|---|---|---|---|
| CNA0505408 | IN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1992943831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7099 WOODS DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476301809",
"telephone_number": "812-573-9595",
"fax_number": "812-853-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7099 WOODS DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476301809",
"telephone_number": "812-573-9595",
"fax_number": "812-853-5238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPERT",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IN",
"license": "CNA0505408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.