Active NPI
Kerri Alys Minor, FNP-BC
- Family Medicine Physician
- Warren, MI
National Provider Identifier
1861127326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4704356286
- Practice address
- 27101 Schoenherr Rd
Warren, MI 48088-4730 - Phone
- (586) 758-5800
- Fax
- (586) 758-5841
- NPI assigned
- Jul 19, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4704356286 | MI | Primary |
Addresses
Primary practice location
27101 Schoenherr Rd
Warren, MI 48088-4730
Mailing address
27101 Schoenherr Rd
Warren, MI 48088-4730
Phone (586) 758-5800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704356286 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1861127326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27101 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480884730",
"telephone_number": "586-758-5800",
"fax_number": "586-758-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27101 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480884730",
"telephone_number": "586-758-5800",
"fax_number": "586-758-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "KERRI",
"middle_name": "ALYS",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4704356286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.