Active NPI
Paula Sanson
- Case Manager/Care Coordinator
- Detroit, MI
National Provider Identifier
1033319835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6401007097
- Practice address
- 2051 W Grand Blvd
Detroit, MI 48208-1105 - Phone
- (313) 961-3784
- Fax
- (313) 961-3769
- NPI assigned
- Jul 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6401007097 | MI | Primary |
Addresses
Primary practice location
2051 W Grand Blvd
Detroit, MI 48208-1105
Mailing address
2051 W Grand Blvd
Detroit, MI 48208-1105
Phone (131) 396-1378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401007097 | Other | MI | PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| 6401007097 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1033319835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "131-396-1378",
"fax_number": "313-961-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-961-3784",
"fax_number": "313-961-3769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSON",
"first_name": "PAULA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6401007097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR",
"identifier": "6401007097",
"state": "MI"
}
],
"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 Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.