Cherlyn Renae Giulianelli
Individual provider Active NPI Family Nurse Practitioner · Clawson, MI
NPI 1285296228 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1285296228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704238977 (MI)
- Practice address
- 1402 W 14 Mile Rd
Clawson, MI 48017-1499 - Phone
- (248) 435-7314
- NPI assigned
- Jun 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200129001821 | MI | Practitioner - Nurse Practitioner | 6406282185 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Michigan Infectious Disease Associates, PC | Current |
Accepting new patients | |
| Advocates in Home Health Care PC | Current |
Accepting new patients | |
| Telemed Consultants PLLC | Past | Accepting new patients |
Locations
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
13430 E 13 Mile Rd
Warren, MI 48088
Phone (248) 854-8999
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704238977 | MI | Yes |
Addresses
Primary practice location
1402 W 14 Mile Rd
Clawson, MI 48017-1499
Mailing address
1402 W 14 Mile Rd
Clawson, MI 48017-1499
Phone (248) 435-7314
NPI Registry JSON
{
"created_epoch": "1561852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1285296228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 W 14 MILE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171499",
"telephone_number": "248-435-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 W 14 MILE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171499",
"telephone_number": "248-435-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIULIANELLI",
"first_name": "CHERLYN",
"middle_name": "RENAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-30",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704238977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clawson, MI
- Heather J Fuller
- Gaps Health Mi P.C.
- Garden City Chiropractic PLLC
- Gauthier Orthodontics PLLC
- Jasmeen Kaur Gill
- Robert Gomoll
- Howard Lee Graef
- Great Lakes Pediatric Dentistry PLLC
- Taylor Grandmaison Green
- Anna Greenblatt
All providers in Clawson, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.