Individual provider Active NPI

Sarah Maria Tereau, AGPCNP

  • Primary Care Nurse Practitioner
  • Clarkston, MI
National Provider Identifier
1922880152
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704351609 Issued in MI
Practice address
7736 Ortonville Rd
Clarkston, MI 48348-4483
Phone
(248) 625-5885
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4704351609MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Scott Allen Jr PHD LLC CurrentSince Oct 29, 2023 Accepting new patients
M-15 Family Medical Center P C PastSince Oct 29, 2023 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.

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.

Verify at the official NPI Registry.