Active NPI
Michelle Renee Peel
- Driver
- Pekin, IL
National Provider Identifier
1861834467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- P40055679934
- Practice address
- 22 Point East CT
Pekin, IL 61554-5377 - Phone
- (309) 241-1693
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | P40055679934 | Primary |
Addresses
Primary practice location
22 Point East CT
Pekin, IL 61554-5377
Mailing address
22 Point East CT
Pekin, IL 61554-5377
Phone (309) 241-1693
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1861834467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 POINT EAST CT",
"city": "PEKIN",
"state": "IL",
"postal_code": "615545377",
"telephone_number": "309-241-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 POINT EAST CT",
"city": "PEKIN",
"state": "IL",
"postal_code": "615545377",
"telephone_number": "309-241-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEL",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": "P40055679934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.