Individual provider Active NPI

Erica Rosales-Vallejo

  • Nurse's Aide
  • Harrison TWP, MI
National Provider Identifier
1780464701
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
MI000031335 Issued in MI
Practice address
38401 N Pointe Dr Unit 115T
Harrison TWP, MI 48045-6836
Phone
(989) 443-1728
NPI assigned
Oct 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X MI000031335 MI Primary

Addresses

Primary practice location

38401 N Pointe Dr Unit 115T
Harrison TWP, MI 48045-6836

Mailing address

38401 N Pointe Dr Unit 115T
Harrison TWP, MI 48045-6836
Phone (989) 443-1728

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
MI000031335MIMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1780464701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38401 N POINTE DR UNIT 115T",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480456836",
            "telephone_number": "989-443-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38401 N POINTE DR UNIT 115T",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480456836",
            "telephone_number": "989-443-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES-VALLEJO",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "MI000031335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.