KERMIT STEVEN DAY, NP - NPI NUMBER 1316252166

Summary

Provider Name: KERMIT STEVEN DAY, NP

NPI Number: 1316252166

Clasification: Clinical Nurse Specialist (364SF0001X)

Specialization: Family Health

Address:
4333 W ST JOE HWY
LANSING, MI
ZIP 48917

Phone Number: (517) 321-1525



Detailed Information

Kermit Steven Day, NP is a family health clinical nurse specialist in Lansing, MI. The assigned NPI number for this provider is 1316252166 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

4333 W ST JOE HWY
LANSING, MI
ZIP 48917-100
Phone: (517) 321-1525
Fax: (517) 321-7059

The enumeration date for this NPI number is 8/17/2010 and was last updated on 8/17/2010.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1629364658 MS. TERI TOBLER BATES, NP
Clinical Nurse Specialist (Pediatrics)





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 364SF0001X Clinical Nurse Specialist Family Health 4704162658 MI Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1316252166 The State code in the location of the provider being identified.
2 Entity Type Code 1 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
3 Provider Last Name Legal Name DAY The country code in the location address of the provider being identified.
4 Provider First Name KERMIT The telephone number associated with the location address of the provider being identified.
5 Provider Middle Name STEVEN The fax number associated with the location address of the provider being identified.
6 Provider Credential Text NP The date the provider was assigned a unique identifier (assigned an NPI).
7 Provider First Line Business Practice Location Address 4333 W ST JOE HWY The date that a record was last updated or changed.
8 Provider Business Practice Location Address City Name LANSING The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
9 Provider Business Practice Location Address State Name MI The first name of the authorized official.
10 Provider Business Practice Location Address Postal Code 489174100 The middle name of the authorized official.
11 Provider Business Practice Location Address Country Code If outside U S US The title or position of the authorized official.
12 Provider Business Practice Location Address Telephone Number 5173211525 The 10-position telephone number of the authorized official.
13 Provider Business Practice Location Address Fax Number 5173217059 Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
14 Provider Enumeration Date 8/17/2010 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
15 Last Update Date 8/17/2010 The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 364SF0001X Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
18 Provider License Number 1 4704162658 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
19 Provider License Number State Code 1 MI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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