Individual provider Active NPI

Kiera Latitia Rushton

  • Chore Provider
  • Alpena, MI
National Provider Identifier
1922521905
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
R235469488328 Issued in MI
Practice address
539 Pinecrest St Apt 2
Alpena, MI 49707-1386
Phone
(989) 356-6050
Fax
(989) 356-6050
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X R235469488328 MI Primary

Addresses

Primary practice location

539 Pinecrest St Apt 2
Alpena, MI 49707-1386

Mailing address

539 Pinecrest St Apt 7
Alpena, MI 49707-1387
Phone (989) 255-0620

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
R235469488328MIMDChore Provider

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1922521905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 PINECREST ST APT 7",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071387",
            "telephone_number": "989-255-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 PINECREST ST APT 2",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071386",
            "telephone_number": "989-356-6050",
            "fax_number": "989-356-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHTON",
        "first_name": "KIERA",
        "middle_name": "LATITIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "MI",
            "license": "R235469488328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.