Active NPI
Euneika Sade Mitchell
- Other Technician
- Inkster, MI
National Provider Identifier
1063889053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- M324237758881
- Practice address
- 3906 Bayhan St
Inkster, MI 48141-3245 - Phone
- (313) 442-2509
- NPI assigned
- Aug 26, 2015
- Last updated
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | M324237758881 | MI | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
3906 Bayhan St
Inkster, MI 48141-3245
Mailing address
3906 Bayhan St
Inkster, MI 48141-3245
Phone (313) 442-2509
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 |
|---|---|---|---|
| M324237758881 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1063889053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 BAYHAN ST",
"city": "INKSTER",
"state": "MI",
"postal_code": "481413245",
"telephone_number": "313-442-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3906 BAYHAN ST",
"city": "INKSTER",
"state": "MI",
"postal_code": "481413245",
"telephone_number": "313-442-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "EUNEIKA",
"middle_name": "SADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "M324237758881",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inkster, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.