Sally Segal

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704132288 Issued in MI

Practice address

3865 Lone Pine Rd Apt 301
West Bloomfield, MI 48323-2930

Phone

(248) 737-2132

Fax

(248) 737-2132

NPI assigned

Nov 21, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• Care Solutions Group, LLC

  • Case Management Agency
  • Royal Oak, MI
  • NPI 1467869941
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1235536061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 LONE PINE RD APT 301",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232930",
            "telephone_number": "248-737-2132",
            "fax_number": "248-737-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 LONE PINE RD APT 301",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232930",
            "telephone_number": "248-737-2132",
            "fax_number": "248-737-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "SALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704132288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Seaser, PHARMD
• Rozanne Sedler, LMSW
• Sandra Seelbinder, OTRL
• Mitchell Seeling, DPT
• Deborah A Segal, OT
• Simona Allison Seiderman, LMSW, DCSW, BCD
• Brian D Seifman, MD
• Select Care PLLC
• Chaya Selesny, LMSW
• Melissa Iris Seligman, LMSW

• Adult Health Nurse Practitioner in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.