Individual provider Active NPI

Anita Marie Mainella, RN

  • Home Health Registered Nurse
  • Ann Arbor, MI
National Provider Identifier
1134637432
Registry record updated Jan 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704164411 Issued in MI
Practice address
2850 S Industrial Hwy
Ann Arbor, MI 48104-6796
Phone
(800) 842-5504
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704164411 MI Primary

Addresses

Primary practice location

2850 S Industrial Hwy
Ann Arbor, MI 48104-6796

Mailing address

18327 Hampton CT
Livonia, MI 48152-2825
Phone (248) 996-2281

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704164411MIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1134637432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18327 HAMPTON CT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522825",
            "telephone_number": "248-996-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S INDUSTRIAL HWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046796",
            "telephone_number": "800-842-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINELLA",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704164411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2018; 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.