Phillip Richard Duprey-Henry, LPN, NREMT-P

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703128668 Issued in MI

Practice address

825 N Center Ave
Gaylord, MI 49735-1592

Phone

(989) 731-2131

NPI assigned

Feb 12, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1194530402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6577 ELLEN DR",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486537171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREY-HENRY",
        "first_name": "PHILLIP",
        "middle_name": "RICHARD",
        "credential": "LPN, NREMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MI",
            "license": "M5080373",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703128668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald P. Cousineau DO PC
• Cynthia Louise Dort, LMT,BCTMB
• Dr. Bailey Pearson, OD, PLLC
• Lisa Marie Draper, MA
• Donna Angela Dunn
• Edward Duski Jr., DDS
• Ea Medical, PLLC
• Breeanne Eckstein, MA CF-SLP
• Carol Linn Edwards, F.N.P.
• Renee Vanessa Elias, D.C.

• Licensed Practical Nurse in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.