Demetra Dillard

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703107207 Issued in MI

Practice address

9736 Otsego St
Detroit, MI 48204-3900

Phone

(586) 801-9942

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1134501398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 OTSEGO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043900",
            "telephone_number": "586-801-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9736 OTSEGO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043900",
            "telephone_number": "586-801-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "DEMETRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703107207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Anne Digiovanni
• Wayne Maurice Dike, LLPC
• Lea Dikranian, MD
• Adrienne L Dillard, BA, BS, MBA
• Alics Dillard
• Ellen Wong Dillard, NP-C
• June Dillard
• Lakresha Laverne Dillard
• Bridget Catherine Dillon, DO
• Julia Geik Dillon, PA-C

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.