Active NPI
Nadine Tarraf
- Medical Physician Assistant
- Dearborn, MI
National Provider Identifier
1144769084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601008084
- Practice address
- 1022 N Telegraph Rd
Dearborn, MI 48128-1622 - Phone
- (313) 274-6666
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601008084 | MI | Primary |
Addresses
Primary practice location
1022 N Telegraph Rd
Dearborn, MI 48128-1622
Mailing address
6859 Plainfield St
Dearborn Heights, MI 48127-1922
Phone (313) 712-0654
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 |
|---|---|---|---|
| 5601008084 | MI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1144769084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6859 PLAINFIELD ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271922",
"telephone_number": "313-712-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 N TELEGRAPH RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281622",
"telephone_number": "313-274-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRAF",
"first_name": "NADINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601008084",
"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 Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.