NP Provision, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704177492 Issued in MI

Legal business name

NP PROVISION, LLC

Practice address

27177 Lahser Rd Ste 201
Southfield, MI 48034-8468

Phone

(248) 895-8562

Fax

(248) 286-6255

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Timiko L Drew, NP-CNPI 1326471764

Title

Proprietor/Nurse Practitioner

Phone

(313) 587-3087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timiko Lei Drew, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Southfield, MI
  • NPI 1326471764
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1043726144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN SAIL CT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075008",
            "telephone_number": "313-587-3087",
            "fax_number": "248-286-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27177 LAHSER RD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348468",
            "telephone_number": "248-895-8562",
            "fax_number": "248-286-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP PROVISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "TIMIKO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROPRIETOR/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-587-3087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704177492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Noveroske Philbrick, DO
• Paula Novetsky
• Samantha Nowak
• Claire Nowinski
• Farhat Nowrin
• NPH Consultants LLC
• Nsima Usen DPM, MPH, P.C
• Nsima Usen DPM, MPH, PC
• Alicia D Nuccilli, CTRS
• Nuch of Michigan Inc.

• Adult Health Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.