Active NPI
Tawanna Q King
- Chore Provider
- Detroit, MI
National Provider Identifier
1003529330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 18714 Forrer St
Detroit, MI 48235-2911 - Phone
- (313) 694-7770
- NPI assigned
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Home Health Aide | 374U00000X | |||
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
18714 Forrer St
Detroit, MI 48235-2911
Mailing address
18714 Forrer St
Detroit, MI 48235-2911
Phone (313) 694-7770
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1003529330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18714 FORRER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352911",
"telephone_number": "313-694-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18714 FORRER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352911",
"telephone_number": "313-694-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "TAWANNA",
"middle_name": "Q",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.