Active NPI
Peggy L Segura, NP
- Nurse Practitioner
- Livonia, MI
National Provider Identifier
1528344298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704240002
- Practice address
- 38935 Ann Arbor Rd
Livonia, MI 48150-3397 - Phone
- (734) 632-0175
- Fax
- (734) 632-0182
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704240002 | MI | Primary |
Addresses
Primary practice location
38935 Ann Arbor Rd
Livonia, MI 48150-3397
Mailing address
10000 Telegraph Rd
Emergency Dept.
Taylor, MI 48180-3330
Phone (313) 295-5007
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704240002 | Other | MI | MEDICAL LICENSE |
| PENDING | Other | MI | CAQH |
| PENDING | Medicaid | MI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Case Management, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- West Bloomfield, MI
- NPI 1992017412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1528344298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 TELEGRAPH RD",
"address_2": "EMERGENCY DEPT.",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803330",
"telephone_number": "313-295-5007",
"fax_number": "313-295-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGURA",
"first_name": "PEGGY",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704240002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4704240002",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "PENDING",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
}
],
"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 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.