Active NPI
Rhyzianne Pimental
- Gerontology Nurse Practitioner
- Utica, MI
National Provider Identifier
1003731019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704328458
- Practice address
- 11051 Hall Rd Ste 240
Utica, MI 48317-5742 - Phone
- (586) 232-5855
- NPI assigned
- Aug 11, 2026
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704328458 | MI | Primary |
Addresses
Primary practice location
11051 Hall Rd Ste 240
Utica, MI 48317-5742
Mailing address
11051 Hall Rd Ste 240
Utica, MI 48317-5742
Phone (586) 295-8885
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1003731019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11051 HALL RD STE 240",
"city": "UTICA",
"state": "MI",
"postal_code": "483175742",
"telephone_number": "586-295-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11051 HALL RD STE 240",
"city": "UTICA",
"state": "MI",
"postal_code": "483175742",
"telephone_number": "586-232-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTAL",
"first_name": "RHYZIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704328458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.