Active NPI
Sandra Ann Luther, RN
- Community/Behavioral Health Agency
- Clinton TWP, MI
National Provider Identifier
1376681866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4704118787
- Practice address
- 21885 Dunham Rd
Clinton TWP, MI 48036-1030 - Phone
- (586) 469-6419
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4704118787 | MI | Primary |
Addresses
Primary practice location
21885 Dunham Rd
Clinton TWP, MI 48036-1030
Mailing address
23459 Stone Castle Dr
Clinton Township, MI 48036-4607
Phone (586) 469-6419
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704118787 | MI | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376681866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23459 STONE CASTLE DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480364607",
"telephone_number": "586-469-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21885 DUNHAM RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480361030",
"telephone_number": "586-469-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "SANDRA",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "4704118787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.