Individual provider Active NPI

Ethel Egbua Ayorinde, R.N.

  • Registered Nurse
  • Clinton Township, MI
National Provider Identifier
1154545911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L850571 Issued in MI
Practice address
35555 Garfield Rd
3B
Clinton Township, MI 48035-5517
Phone
(586) 792-1654
Fax
(586) 792-1656
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L850571 MI Primary

Addresses

Primary practice location

35555 Garfield Rd
3B
Clinton Township, MI 48035-5517

Mailing address

28939 Lake Park Dr
Farmington Hills, MI 48331-2634
Phone (248) 324-3737

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
L850571MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
GF Adult Foster Care Homes Inc. Past Accepting new patients

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154545911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28939 LAKE PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312634",
            "telephone_number": "248-324-3737",
            "fax_number": "734-326-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35555 GARFIELD RD",
            "address_2": "3B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355517",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYORINDE",
        "first_name": "ETHEL",
        "middle_name": "EGBUA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "L850571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.