Active NPI
Michelle Monique Tillett-Buggs, LVN
- Licensed Vocational Nurse
- Perris, CA
National Provider Identifier
1649793373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN685477
- Practice address
- 85 Ramona Expy
Perris, CA 92571-7014 - Phone
- (951) 349-4195
- NPI assigned
- Jul 25, 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN685477 | CA | Primary |
Addresses
Primary practice location
85 Ramona Expy
Perris, CA 92571-7014
Mailing address
85 Ramona Express Way
Riverside, CA 92531
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN685477 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare | 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.
-
- Peer Specialist
- Perris, CA
- NPI 1992320329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1649793373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 RAMONA EXPRESS WAY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 RAMONA EXPY",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717014",
"telephone_number": "951-349-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLETT-BUGGS",
"first_name": "MICHELLE",
"middle_name": "MONIQUE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN685477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.