Individual provider Active NPI

April Scandalis-Jefferson, RN, BSN

  • Registered Nurse
  • Saint Clair Shores, MI
National Provider Identifier
1447760822
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704270007 Issued in MI
Practice address
21805 Alger St
Saint Clair Shores, MI 48080-1873
Phone
(313) 728-2174
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704270007 MI Primary

Addresses

Primary practice location

21805 Alger St
Saint Clair Shores, MI 48080-1873

Mailing address

21805 Alger St
Saint Clair Shores, MI 48080-1873
Phone (313) 728-2174

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704270007MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1447760822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21805 ALGER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801873",
            "telephone_number": "313-728-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21805 ALGER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801873",
            "telephone_number": "313-728-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDALIS-JEFFERSON",
        "first_name": "APRIL",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704270007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.