Felicia D Beard
Individual provider Active NPI Contractor · Detroit, MI
NPI 1043733439 · NPPES record last updated Jul 18, 2017
Key facts
- NPI
- 1043733439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1121 E McNichols Rd
Detroit, MI 48203-2857 - Phone
- (616) 365-3100
- Fax
- (616) 365-3100
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
1121 E McNichols Rd
Detroit, MI 48203-2857
Mailing address
23935 Outer Dr Apt G14
Melvindale, MI 48122-1679
Phone (313) 908-3019
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.