Individual provider Active NPI

James Frederick Trewhella, QMRP

  • Community/Behavioral Health Agency
  • Rockford, MI
National Provider Identifier
1891978912
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
7270 Russet TRL NE
Rockford, MI 49341-8343
Phone
(616) 450-4528
Fax
(616) 874-1098
NPI assigned
Dec 12, 2007
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

7270 Russet TRL NE
Rockford, MI 49341-8343

Mailing address

7270 Russet TRL NE
Rockford, MI 49341-8343
Phone (616) 450-4528

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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1891978912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 RUSSET TRL NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418343",
            "telephone_number": "616-450-4528",
            "fax_number": "616-874-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 RUSSET TRL NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418343",
            "telephone_number": "616-450-4528",
            "fax_number": "616-874-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREWHELLA",
        "first_name": "JAMES",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "QMRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.