Active NPI
Maya Ali Khalil, FNP
- Primary Care Nurse Practitioner
- Dearborn, MI
National Provider Identifier
1134856230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704342132
- Practice address
- 7716 E Morrow Cir
Dearborn, MI 48126-1292 - Phone
- (313) 461-3434
- NPI assigned
- Aug 8, 2022
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704342132 | MI | Primary |
Addresses
Primary practice location
7716 E Morrow Cir
Dearborn, MI 48126-1292
Mailing address
7716 E Morrow Cir
Dearborn, MI 48126-1292
Phone (313) 715-8031
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 |
|---|---|---|---|
| 4704342132 | MI | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1134856230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7716 E MORROW CIR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261292",
"telephone_number": "313-715-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7716 E MORROW CIR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261292",
"telephone_number": "313-461-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "MAYA",
"middle_name": "ALI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704342132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.