Individual provider Active NPI

Camellia Denise Huges-Allen, RN

  • Registered Nurse
  • Southfield, MI
National Provider Identifier
1003044587
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704210542 Issued in MI
Practice address
25140 Lahser Rd
Suite 232
Southfield, MI 48033-2753
Phone
(248) 208-0553
Fax
(248) 208-0558
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704210542 MI Primary

Addresses

Primary practice location

25140 Lahser Rd
Suite 232
Southfield, MI 48033-2753

Mailing address

25140 Lahser Rd
Suite 232
Southfield, MI 48033-2753
Phone (248) 208-0553

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704210542MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advacare Health Care Professionals, LLC Past Accepting new patients
Advacare Home Health Professionals, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1003044587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25140 LAHSER RD",
            "address_2": "SUITE 232",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332753",
            "telephone_number": "248-208-0553",
            "fax_number": "248-208-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25140 LAHSER RD",
            "address_2": "SUITE 232",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332753",
            "telephone_number": "248-208-0553",
            "fax_number": "248-208-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGES-ALLEN",
        "first_name": "CAMELLIA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704210542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.