Individual provider Active NPI

Laura Perlmutter, LMT

  • Health Maintenance Organization
  • Roseville, MI
National Provider Identifier
1043750474
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
7501010094 Issued in MI
Practice address
18527 Tranquil St
Roseville, MI 48066-4234
Phone
(586) 843-9850
NPI assigned
Mar 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 7501010094 MI Primary
Health Maintenance Organization 302R00000X 2701370194 MI

Addresses

Primary practice location

18527 Tranquil St
Roseville, MI 48066-4234

Mailing address

18527 Tranquil St
Roseville, MI 48066-4234
Phone (586) 843-9850

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

LicenseStateTypeSpecialty
2701370194MIMDHealth Maintenance Organization
7501010094MIMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488585600000",
    "number": "1043750474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18527 TRANQUIL ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664234",
            "telephone_number": "586-843-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18527 TRANQUIL ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664234",
            "telephone_number": "586-843-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMUTTER",
        "first_name": "LAURA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "7501010094",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "2701370194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.