Individual provider Active NPI

Natalie Michelle Piernick, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1720482219
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007208 Issued in MI
Practice address
14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone
(313) 581-9446
NPI assigned
Oct 13, 2014
Last updated
May 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 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 5601007208 MI Primary

Addresses

Primary practice location

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782

Mailing address

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone (313) 581-9446

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

LicenseStateTypeSpecialty
5601007208MIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1720482219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-581-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-581-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERNICK",
        "first_name": "NATALIE",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.