BRENDA PECK (NPI# 1154704054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154704054 |
| Entity Type | Individual |
| Full Name | BRENDA PECK |
| Practice Address |
18621 Blue Island Ct Roseville MI 48066-2938 |
| Practice Telephone | 3132436891 |
| Mailing Telephone | 3132436891 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 47031053541 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187365 | Brenda Peck | Respiratory Therapist, Registered | 1727 Sw 4th St, Gresham, OR 97080-6716 | 2018-09-11 |
| Street Address |
18621 BLUE ISLAND CT |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588172738 | Nicole Harris | Licensed Practical Nurse | 19716 Voiland St, Roseville, MI 48066-1193 | 2018-01-22 |
| 1518310259 | Jacquelyn Freeman-ingram | Licensed Practical Nurse | 17475 Lowell St, Roseville, MI 48066-2818 | 2016-07-18 |
| 1548622418 | Rebecca Robinson | Licensed Practical Nurse | 28728 Hollywood St, Roseville, MI 48066-2425 | 2016-03-22 |
| 1881054344 | Teeka Hayes | Licensed Practical Nurse | 30574 Cantabarry, Roseville, MI 48066-7765 | 2016-02-26 |
| 1457737868 | Tiffany Private Duty Nursing | Licensed Practical Nurse | 42 Severt Ln, Roseville, OH 43777-1179 | 2015-08-07 |
| 1801282371 | Karen Celmo | Licensed Practical Nurse | 28919 Hollywood St, Roseville, MI 48066-7406 | 2015-04-12 |
| 1891181400 | Angela Trent | Licensed Practical Nurse | 19006 Rockport St, Roseville, MI 48066-1363 | 2015-04-09 |
| 1003207358 | Varghese John | Licensed Practical Nurse | 25813 Salem St, Roseville, MI 48066-5811 | 2015-02-09 |
| 1801203807 | Carolyn James | Licensed Practical Nurse | 30745 Hidden Pines Ln, Roseville, MI 48066-7308 | 2014-07-22 |
| 1932441714 | Rhonna Dione Tindall | Licensed Practical Nurse | 7641 Millport Dr, Roseville, CA 95678-2913 | 2013-03-20 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.