Active NPI
Yasmeen Kaur Mann
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1124684519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2600
- NPI assigned
- May 12, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Other practice location 1
107 S Washington Ave Apt 314
Saginaw, MI 48607-1258
Phone (989) 954-4845
Other practice location 2
1632 Stone St
Saginaw, MI 48602
Phone (989) 746-7504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200728003203 | MI | Order and Referring Only - Internal Medicine | 0941625636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ymann615181@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1124684519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
}
],
"practiceLocations": [
{
"address_1": "107 S Washington Ave Apt 314",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486071258",
"country_code": "US",
"telephone_number": "989-954-4845",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1632 Stone St",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "48602",
"country_code": "US",
"telephone_number": "989-746-7504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "YASMEEN",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-12",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.