Individual provider Active NPI

Courtney Peper, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1356817688
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704313627 Issued in MI
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

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.