Individual provider Active NPI

Sandra Prewitt

  • Homemaker
  • Shelby Township, MI
National Provider Identifier
1528623733
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
7365 Ryburn St
Shelby Township, MI 48317-2473
Phone
(586) 530-9041
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X MI Primary

Addresses

Primary practice location

7365 Ryburn St
Shelby Township, MI 48317-2473

Mailing address

7365 Ryburn St
Shelby Township, MI 48317-2473
Phone (586) 530-9041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sandyprewitt2@hotmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1528623733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 RYBURN ST",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172473",
            "telephone_number": "586-530-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 RYBURN ST",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172473",
            "telephone_number": "586-530-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandyprewitt2@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "address_1": "7365 Ryburn St",
            "city": "Shelby Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483172473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.