Sandra D. Pernecky

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

630 Archwood Dr
Ann Arbor, MI 48103-2807

Phone

(734) 741-8399

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1427523588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N HURON RIVER DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972351",
            "telephone_number": "734-487-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ARCHWOOD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032807",
            "telephone_number": "734-741-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNECKY",
        "first_name": "SANDRA",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "718222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Perkins Jr., RPH
• Tim Perkins, RN
• Lawrence Mark Perlman, PHD
• Rachel Perlman, MD
• Mark Alan Perlmutter, D.C.
• Krishna Chaitanya Perni, M.D.
• Perry Gene Pernicano, MD
• Greg John Peroff, D.C.
• Lori J. Perpich, T.L.L.P.
• Ellen Smith Perricci, MD

• Registered Dietitian in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.