Active NPI
Carrie Gerdeman, CTRS
- Community Health Worker
- Troy, MI
National Provider Identifier
1386885663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1709 John R Rd
Troy, MI 48083-2512 - Phone
- (586) 268-4160
- Fax
- (586) 285-9942
- NPI assigned
- Mar 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1709 John R Rd
Troy, MI 48083-2512
Mailing address
1709 John R Rd
Troy, MI 48083-2512
Phone (586) 268-4160
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": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1386885663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 JOHN R RD",
"city": "TROY",
"state": "MI",
"postal_code": "480832512",
"telephone_number": "586-268-4160",
"fax_number": "586-285-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 JOHN R RD",
"city": "TROY",
"state": "MI",
"postal_code": "480832512",
"telephone_number": "586-268-4160",
"fax_number": "586-285-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERDEMAN",
"first_name": "CARRIE",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.