Janene Berceau, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704286041 Issued in MI

Practice address

26211 Central Park Blvd
Southfield, MI 48076-4107

Phone

(248) 929-9371

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Interoperability endpoints

• Direct secure messaging: janene.berceau.1@9974.direct.athenahealth.com

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1831723972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22667 FAWN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831155",
            "telephone_number": "734-972-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764107",
            "telephone_number": "248-929-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCEAU",
        "first_name": "JANENE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704286041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Bell Benson, PT
• Skylar Bentley
• Sidney Benton, RRT
• Vajra Bentur, DDS
• Sheryl Lyn Bentzley, D.P.M.
• Samantha Ashley Berg
• Gregory E Berger, M.D.
• Ryan Joseph Berger, MD
• Shulamit Berger
• Jeremy Bergeron, LMSW

• Administrator Registered Nurse in Southfield, MI
• Providers in Southfield, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.