Individual provider Active NPI

Meri Trajkovski

  • Acute Care Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1073126256
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704185601 Issued in MI
Practice address
22670 Haggerty Rd Ste 100
Farmington Hills, MI 48335-2631
Phone
(248) 465-7367
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704185601 MI Primary
Registered Nurse 163W00000X 4704185601 MI

Addresses

Primary practice location

22670 Haggerty Rd Ste 100
Farmington Hills, MI 48335-2631

Mailing address

22670 Haggerty Rd Ste 100
Farmington Hills, MI 48335-2631
Phone (248) 465-7367

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

LicenseStateTypeSpecialty
4704185601MIMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1073126256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22670 HAGGERTY RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352631",
            "telephone_number": "248-465-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22670 HAGGERTY RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352631",
            "telephone_number": "248-465-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAJKOVSKI",
        "first_name": "MERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704185601",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704185601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.