Active NPI
Terri Lynn Tiederman, RN
- Registered Nurse
- Novi, MI
National Provider Identifier
1205475209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704254506
- Practice address
- CNS Healthcare 24230 Karim Blvd
Ste 100
Novi, MI 48375 - Phone
- (248) 745-4900
- Fax
- (248) 994-8005
- NPI assigned
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704254506 | MI | Primary |
Addresses
Primary practice location
CNS Healthcare 24230 Karim Blvd
Ste 100
Novi, MI 48375
Mailing address
890 Henderson Ave
Waterford, MI 48328
Phone (248) 701-8224
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704254506 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1205475209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 HENDERSON AVE",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48328",
"telephone_number": "248-701-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CNS HEALTHCARE 24230 KARIM BLVD",
"address_2": "STE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "48375",
"telephone_number": "248-745-4900",
"fax_number": "248-994-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEDERMAN",
"first_name": "TERRI",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704254506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.