NPIMap

Organization Active NPI

Nursing Practice Corporation

Doing business as Campus Health Center

  • Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1023180106
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NURSING PRACTICE CORPORATION
Doing business as
Campus Health Center
Practice address
5200 Anthony Wayne Dr
Ste 115
Detroit, MI 48202-3945
Phone
(313) 577-5041
Fax
(313) 577-9581
NPI assigned
Nov 14, 2006
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Barbara Klug Redman, RN, PHD
Title
President
Phone
(313) 577-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

5200 Anthony Wayne Dr
Ste 115
Detroit, MI 48202-3945

Mailing address

5200 Anthony Wayne Dr
Ste 115
Detroit, MI 48202-3945
Phone (313) 577-5041

Other names 1

  • Campus Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070123000218 MI Part B Supplier - Clinic/Group Practice 5395746143 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Detroit, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nursing Practice Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1550 Taylor St
Detroit, MI 48206
Phone (313) 486-5501

5285 Anthony Wayne Dr
Detroit, MI 48202
Phone (313) 577-5041

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1023180106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 ANTHONY WAYNE DR",
            "address_2": "STE 115",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023945",
            "telephone_number": "313-577-5041",
            "fax_number": "313-577-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 ANTHONY WAYNE DR",
            "address_2": "STE 115",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023945",
            "telephone_number": "313-577-5041",
            "fax_number": "313-577-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KLUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-577-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PHD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.