Active NPI
Renee Danielle Boals-Peel, RMT
- Public Health & General Preventive Medicine Physician
- Grand Blanc, MI
National Provider Identifier
1194067124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 2399116
- Practice address
- 8469 S Saginaw St
Grand Blanc, MI 48439-2069 - Phone
- (248) 459-8721
- NPI assigned
- Mar 15, 2013
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2399116 | MI | Primary |
Addresses
Primary practice location
8469 S Saginaw St
Grand Blanc, MI 48439-2069
Mailing address
8469 South Saginaw
Grand Blanc, MI 48439
Phone (248) 459-8721
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 |
|---|---|---|---|
| 2399116 | MI | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1194067124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8469 SOUTH SAGINAW",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48439",
"telephone_number": "248-459-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8469 S SAGINAW ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392069",
"telephone_number": "248-459-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOALS-PEEL",
"first_name": "RENEE",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-15",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "2399116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.