Active NPI
Rebecca Periard, RN
- Home Health Registered Nurse
- Saint Clair Shores, MI
National Provider Identifier
1508389024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 4704193512
- Practice address
- 22405 Saint Gertrude St
Saint Clair Shores, MI 48081-2530 - Phone
- (586) 200-2227
- NPI assigned
- Jul 18, 2017
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704193512 | MI | Primary |
Addresses
Primary practice location
22405 Saint Gertrude St
Saint Clair Shores, MI 48081-2530
Mailing address
22405 Saint Gertrude St
Saint Clair Shores, MI 48081-2530
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 |
|---|---|---|---|
| 4704193512 | MI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1508389024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22405 SAINT GERTRUDE ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22405 SAINT GERTRUDE ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812530",
"telephone_number": "586-200-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIARD",
"first_name": "REBECCA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704193512",
"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 Jul 18, 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.