Individual provider Active NPI

Faith Roper, FNP-C

  • Nurse Practitioner
  • Grayling, MI
National Provider Identifier
1275190217
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704350877 Issued in MI
Practice address
1135 N Old 27
Grayling, MI 49738-9777
Phone
(989) 348-7800
NPI assigned
May 24, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704350877 MI Primary

Addresses

Primary practice location

1135 N Old 27
Grayling, MI 49738-9777

Mailing address

1135 N Old 27 # C309
Grayling, MI 49738-9777
Phone (989) 710-5050

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704350877MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC Single Specialty CurrentSince Sep 23, 2012 Accepting new patients
District Health Department No 10 Past Accepting new patients

Locations

1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1275190217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N OLD 27 # C309",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497389777",
            "telephone_number": "989-710-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N OLD 27",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497389777",
            "telephone_number": "989-348-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "FAITH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704350877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.