Raeyanna Jazlyhn Peters

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

3062 S State Rd
Ionia, MI 48846-8777

Phone

(616) 527-3904

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1104411818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 S ROBINSON ST",
            "city": "LYONS",
            "state": "MI",
            "postal_code": "488518626",
            "telephone_number": "616-902-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488468777",
            "telephone_number": "616-527-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RAEYANNA",
        "middle_name": "JAZLYHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennock Hospital Board of Trustees
• Perla P Garza Therapy LLC
• Melissa Perla, PT, DPT
• Matthew Perron
• Joshua Peterman
• Melissa Eve Peterson, LMSW
• Audrey Anne Phillips, LBSW RN
• Physiotherapy Assoicates, Inc. (NovaCare Rehabilitaton)
• Marci Amelia Pionk, AT, ATC
• Places LLC

• Pharmacy Technician in Ionia, MI
• Providers in Ionia, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.