Individual provider Active NPI

Sonja Navarro, PAC

  • Physician Assistant
  • Rockford, MI
National Provider Identifier
1659388767
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002136 Issued in MI
Practice address
4386 14 Mile Rd NE
Rockford, MI 49341-7838
Phone
(616) 863-9999
Fax
(616) 863-9929
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002136 MI Primary

Addresses

Primary practice location

4386 14 Mile Rd NE
Rockford, MI 49341-7838

Mailing address

PO Box 213
Cadillac, MI 49601-0213
Phone (231) 775-6076

Other identifiers 2

IdentifierTypeStateIssuer
012960500MedicaidFL
003156705AMedicaidGA

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601002136MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenrock Springs Urgent Family Care PC Current Accepting new patients
Augustine Emergency Physicians LLC Past Accepting new patients
Emergency Care Specialists PC Past Accepting new patients
Central Michigan Emergency Physicians, P.C. Past Accepting new patients

Locations

4386 14 Mile Rd NE
Rockford, MI 49341
Phone (616) 863-9999

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1659388767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010213",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 14 MILE RD NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417838",
            "telephone_number": "616-863-9999",
            "fax_number": "616-863-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "SONJA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012960500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003156705A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.