Active NPI
Theresa Doerr
- School Nurse Practitioner
- Grand Blanc, MI
National Provider Identifier
1295631018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 4704321186
- Practice address
- 3390 E Cook Rd
Grand Blanc, MI 48439-8013 - Phone
- (248) 872-4497
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 4704321186 | MI | Primary |
Addresses
Primary practice location
3390 E Cook Rd
Grand Blanc, MI 48439-8013
Mailing address
3390 E Cook Rd
Grand Blanc, MI 48439-8013
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1295631018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 E COOK RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 E COOK RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398013",
"telephone_number": "248-872-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "THERESA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "MI",
"license": "4704321186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.