Andrea Eileen Naylor, CPRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

H520067197354 Issued in MI

Practice address

400 Stoddard Rd
Richmond, MI 48062-2505

Phone

(810) 392-2167

Fax

(810) 392-3385

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1659061133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58400 WILLIAM ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482782",
            "telephone_number": "586-525-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STODDARD RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622505",
            "telephone_number": "810-392-2167",
            "fax_number": "810-392-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "ANDREA",
        "middle_name": "EILEEN",
        "credential": "CPRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": "H520067197354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hengelberth D Montufar, D.P.M.
• Dong Yeon Moon, MD
• Gary Raymond Mose
• Katianne Rose Murphy
• Sreekant S Nair, DO
• New Image Dental, P.C.
• Kenneth Edward Niemi, DDS
• Amanda Lynn Nolff
• Karen Marlene Paciorek, LPN
• Edward L Papineau II

• Peer Specialist in Richmond, MI
• Providers in Richmond, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.