Active NPI
Cathy Lynn Euseary, CARE COORDINATOR
- Case Manager/Care Coordinator
- Detroit, MI
National Provider Identifier
1013257179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6803085828
- Practice address
- 2925 Russell St
Detroit, MI 48207-4825 - Phone
- (313) 396-5300
- Fax
- (313) 285-2430
- NPI assigned
- Feb 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 171M00000X | 6803085828 | MI | Primary |
Addresses
Primary practice location
2925 Russell St
Detroit, MI 48207-4825
Mailing address
2925 Russell St
Detroit, MI 48207-4825
Phone (313) 396-5300
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 |
|---|---|---|---|
| 6803085828 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436054400000",
"number": "1013257179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 RUSSELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074825",
"telephone_number": "313-396-5300",
"fax_number": "313-285-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 RUSSELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074825",
"telephone_number": "313-396-5300",
"fax_number": "313-285-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUSEARY",
"first_name": "CATHY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CARE COORDINATOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2015-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6803085828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Darquisia Eubanks
- Dashannia Aneshia Eubanks
- Saniqua Mona Eubanks, FAODP
- Eulicare Home Health Service, LLC
- Nina Marie Eusani, R.N.
- Maria Carla Lourdes Eusebio-Pinili, P.T.
- Evangel Street & Byway Ministries
- Maristella S Evangelista, MD
- Evans Counseling & Vocational Assessment L.L.C.
- Janet Maria Evans-Covington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.