Iman NP Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IMAN NP CENTER LLC

Practice address

26771 W 12 Mile Rd
Suite 101
Southfield, MI 48034-1539

Phone

(248) 595-8536

Fax

(248) 809-2043

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Veronica Shivachi-Williams, NP-C

Title

Nurse Practitioner

Phone

(248) 595-8536

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Iman Nurse Practitioner Center Other name

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1124393202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-595-8536",
            "fax_number": "248-809-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-595-8536",
            "fax_number": "248-809-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAN NP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "SHIVACHI-WILLIAMS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "248-595-8536",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/BCN",
            "identifier": "5008616330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iman Nurse Practitioner Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa Ignasiak
• Zainab Ijaz, MD
• Tolulope A Ilori, DPT
• Im Care Coordinators of Mi PLLC
• Im Care Coordinators of Oh PLLC
• Imani Ya Kupinga
• Morielle Imeson, DONA TRAINED DOULA
• Imotion Physical Therapy LLC
• Improve How You Move PLLC
• Arooj Imran, MD

• Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.