Individual provider Active NPI

Sarah M Purcell, MS, RDS, IBCLC

  • Registered Dietitian
  • Southfield, MI
National Provider Identifier
1336900554
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86063796 Issued in MI
Practice address
28625 Northwestern Hwy Ste 100
Southfield, MI 48034-8351
Phone
(248) 645-1740
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86063796 MI Primary

Addresses

Primary practice location

28625 Northwestern Hwy Ste 100
Southfield, MI 48034-8351

Mailing address

7372 Kipling St
Detroit, MI 48206-2625
Phone (734) 546-2742

Other practice location 1

2055 E 14 Mile Rd
Birmingham, MI 48009-7256
Phone (248) 645-1740

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
Master of Science

State licenses

LicenseStateTypeSpecialty
86063796MIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Pediatrics PC PastSince Aug 2, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: spurcell951595@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1336900554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7372 KIPLING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062625",
            "telephone_number": "734-546-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28625 NORTHWESTERN HWY STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348351",
            "telephone_number": "248-645-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480097256",
            "country_code": "US",
            "telephone_number": "248-645-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "MS, RDS, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86063796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.