Active NPI
Colleen Sweeney, CPNP
- Pediatric Nurse Practitioner
- Detroit, MI
National Provider Identifier
1104298173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704313421
- Practice address
- 3901 Beaubien St
Children'S Hospital of Mi
Detroit, MI 48201 - Phone
- (313) 745-5516
- Fax
- (313) 966-0665
- NPI assigned
- Oct 29, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704313421 | MI | Primary |
Addresses
Primary practice location
3901 Beaubien St
Children'S Hospital of Mi
Detroit, MI 48201
Mailing address
Uhc 5D Suite 226
University Pediatricians
Detroit, MI 48201-2153
Phone (313) 745-4405
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704313421 | MI | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1104298173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UHC 5D SUITE 226",
"address_2": "UNIVERSITY PEDIATRICIANS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-4405",
"fax_number": "313-966-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"address_2": "CHILDREN'S HOSPITAL OF MI",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5516",
"fax_number": "313-966-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "COLLEEN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704313421",
"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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.