Active NPI
Alyssa Koeper
- Perfusionist
- Livonia, MI
National Provider Identifier
1487120069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 31330 Schoolcraft Rd Ste 200
Livonia, MI 48150-2042 - Phone
- (734) 525-9712
- NPI assigned
- Oct 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Primary |
Addresses
Primary practice location
31330 Schoolcraft Rd Ste 200
Livonia, MI 48150-2042
Mailing address
5801 S McClintock Dr Ste 110
Tempe, AZ 85283-6002
Phone (480) 777-0607
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Neuro Monitoring, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Plymouth, MI
- NPI 1518384700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1487120069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 S MCCLINTOCK DR STE 110",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852836002",
"telephone_number": "480-777-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31330 SCHOOLCRAFT RD STE 200",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502042",
"telephone_number": "734-525-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPER",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.