Individual provider Active NPI

Juanita Battle, LPN

  • Licensed Practical Nurse
  • Center Line, MI
National Provider Identifier
1144749086
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703083439 Issued in MI
Practice address
8033 E 10 Mile Rd Ste 114
Center Line, MI 48015-1454
Phone
(586) 756-6661
Fax
(586) 756-6933
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703083439 MI Primary

Addresses

Primary practice location

8033 E 10 Mile Rd Ste 114
Center Line, MI 48015-1454

Mailing address

19510 Saxton Ave
Southfield, MI 48075-3944
Phone (248) 558-0722

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

LicenseStateTypeSpecialty
4703083439MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Home & Healthcare Services Inc. PastSince Jul 24, 2022 Accepting new patients
Grand Home Care, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144749086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 SAXTON AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753944",
            "telephone_number": "248-558-0722",
            "fax_number": "248-809-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 114",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "586-756-6661",
            "fax_number": "586-756-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "JUANITA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703083439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

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

Verify at the official NPI Registry.