NPIMap

Individual provider Active NPI

Ericka Gabrielle Page, M.A., CPC

  • Community Health Worker
  • Detroit, MI
National Provider Identifier
1083852172
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
821292 Issued in MI
Practice address
412 W Grand Blvd
Detroit, MI 48216-1412
Phone
(313) 554-3111
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 821292 MI Primary

Addresses

Primary practice location

412 W Grand Blvd
Detroit, MI 48216-1412

Mailing address

412 W Grand Blvd
Detroit, MI 48216-1412
Phone (313) 554-3111

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
821292MIMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
People Community Services Past Accepting new patients
People'S Community Services of Metropolitandetroit Past Accepting new patients

Organizations & group practices 2

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1083852172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161412",
            "telephone_number": "313-554-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161412",
            "telephone_number": "313-554-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ERICKA",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "M.A., CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "821292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.