Individual provider Active NPI

Allison Bazzi, FNP

  • Family Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1053011205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704333327 Issued in MI
Practice address
18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone
(248) 426-9944
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704333327 MI
Family Nurse Practitioner 363LF0000X 4704333327 MI Primary

Addresses

Primary practice location

18312 Middlebelt Rd
Livonia, MI 48152-5007

Mailing address

5885 Golfview Dr
Dearborn HTS, MI 48127-2474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502000305 MI Practitioner - Nurse Practitioner 0941665673 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704333327MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince May 7, 2024 Accepting new patients
Michigan Sports and Spine Center PC CurrentSince Feb 1, 2023 Accepting new patients
Theoria Medical CurrentSince May 21, 2024 Accepting new patients
Rula Al-Aouar PLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

4900 Mercury Dr
Ste A
Dearborn, MI 48126
Phone (313) 633-9509

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

6950 Farmington Rd
West Bloomfield, MI 48322
Phone (248) 478-5645

28 S Prospect St
Ypsilanti, MI 48198
Phone (734) 483-2220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22428/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053011205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 GOLFVIEW DR",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481272474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18312 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-426-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "ALLISON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704333327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704333327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.