Individual provider Active NPI

Jennifer Nicole Pejuan, RRT

  • General Care Registered Respiratory Therapist
  • Dearborn Heights, MI
National Provider Identifier
1821337080
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
4401004824 Issued in MI
Practice address
7880 Robindale Ave
Dearborn Heights, MI 48127-1207
Phone
(313) 799-5565
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X 4401004824 MI Primary

Addresses

Primary practice location

7880 Robindale Ave
Dearborn Heights, MI 48127-1207

Mailing address

7880 Robindale Ave
Dearborn Heights, MI 48127-1207
Phone (313) 799-5565

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
4401004824MIMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1821337080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 ROBINDALE AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271207",
            "telephone_number": "313-799-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 ROBINDALE AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271207",
            "telephone_number": "313-799-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEJUAN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "MI",
            "license": "4401004824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.