Active NPI
Annamaria Bara
- Registered Nurse
- Troy, MI
National Provider Identifier
1104580471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704285237
- Practice address
- 345 E Lovell Dr
Troy, MI 48085-1521 - Phone
- (248) 843-9205
- NPI assigned
- Oct 23, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704285237 | MI | Primary |
Addresses
Primary practice location
345 E Lovell Dr
Troy, MI 48085-1521
Mailing address
345 E Lovell Dr
Troy, MI 48085-1521
Phone (248) 843-9204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0868419-012-00015 | Other | GA | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Troy |
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 |
|---|---|---|---|
| 4704285237 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1104580471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E LOVELL DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851521",
"telephone_number": "248-843-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E LOVELL DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851521",
"telephone_number": "248-843-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARA",
"first_name": "ANNAMARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-23",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704285237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0868419-012-00015",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Troy",
"affiliation": "N",
"address_1": "345 E Lovell Dr",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480851521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.