Active NPI
Sandra J Lerette, PA
- Medical Physician Assistant
- Battle Creek, MI
National Provider Identifier
1801833165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- SL004331
- Practice address
- 632 North Ave
Battle Creek, MI 49017-3249 - Phone
- (269) 969-6145
- Fax
- (269) 969-6133
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | SL004331 | MI | Primary |
Addresses
Primary practice location
632 North Ave
Battle Creek, MI 49017-3249
Mailing address
632 North Ave
Battle Creek, MI 49017-3249
Phone (269) 969-6145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL004331 | Other | MI | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL004331 | MI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801833165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173249",
"telephone_number": "269-969-6145",
"fax_number": "269-969-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173249",
"telephone_number": "269-969-6145",
"fax_number": "269-969-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERETTE",
"first_name": "SANDRA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "SL004331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SL004331",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.