Active NPI
Courtney Peper, MSN, APRN, FNP-C
- Family Nurse Practitioner
- West Bloomfield, MI
National Provider Identifier
1356817688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704313627
- Practice address
- 2300 Haggerty Rd
West Bloomfield, MI 48323 - Phone
- (248) 669-5050
- Fax
- (248) 669-1700
- NPI assigned
- Oct 14, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704313627 | MI | Primary |
Addresses
Primary practice location
2300 Haggerty Rd
West Bloomfield, MI 48323
Mailing address
2300 Haggerty Rd
West Bloomfield, MI 48323-2184
Phone (248) 669-5050
Other practice location 1
1203 S Wayne Rd
Westland, MI 48186-4362
Phone (734) 729-5780
Other practice location 2
2300 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 669-5050
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1356817688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232184",
"telephone_number": "248-669-5050",
"fax_number": "248-669-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-669-5050",
"fax_number": "248-669-1700"
}
],
"practiceLocations": [
{
"address_1": "1203 S Wayne Rd",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481864362",
"country_code": "US",
"telephone_number": "734-729-5780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Haggerty Rd",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "48323",
"country_code": "US",
"telephone_number": "248-669-5050",
"fax_number": "248-669-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEPER",
"first_name": "COURTNEY",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-14",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704313627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.