Individual provider Active NPI

Felicia Michele Vannostrand, BSN

  • Registered Nurse
  • Detroit, MI
National Provider Identifier
1164183307
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704311632 Issued in MI
Practice address
24502 W 7 Mile Rd Ste 101
Detroit, MI 48219-1611
Phone
(877) 709-9387
NPI assigned
Jan 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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 4704311632 MI Primary

Addresses

Primary practice location

24502 W 7 Mile Rd Ste 101
Detroit, MI 48219-1611

Mailing address

21406 Colwell St
Farmington Hills, MI 48336-6117
Phone (313) 384-1398

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
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704311632MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1164183307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21406 COLWELL ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483366117",
            "telephone_number": "313-384-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24502 W 7 MILE RD STE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191611",
            "telephone_number": "877-709-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOSTRAND",
        "first_name": "FELICIA",
        "middle_name": "MICHELE",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704311632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.