Active NPI
Sarah Maria Tereau, AGPCNP
- Primary Care Nurse Practitioner
- Clarkston, MI
National Provider Identifier
1922880152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704351609
- Practice address
- 7736 Ortonville Rd
Clarkston, MI 48348-4483 - Phone
- (248) 625-5885
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704351609 | MI | Primary |
Addresses
Primary practice location
7736 Ortonville Rd
Clarkston, MI 48348-4483
Mailing address
7736 Ortonville Rd Ste a
Clarkston, MI 48348-4483
Phone (248) 625-5885
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704351609 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Scott Allen Jr PHD LLC | Current | Accepting new patients | |
| M-15 Family Medical Center P C | Past | Accepting new patients |
Locations
7736 Ortonville Rd
Ste A
Clarkston, MI 48348
Phone (248) 625-5885
7736 Ortonville Rd
Clarkston, MI 48348
Phone (248) 321-7890
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Clarkston, MI
- NPI 1437415965
-
- Family Medicine Physician
- Clarkston, MI
- NPI 1811962376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1922880152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7736 ORTONVILLE RD STE A",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483484483",
"telephone_number": "248-625-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7736 ORTONVILLE RD",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483484483",
"telephone_number": "248-625-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEREAU",
"first_name": "SARAH",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704351609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.