Daniel St Amour, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704270061 Issued in MI

Practice address

22601 Allen Rd Ste 400
Woodhaven, MI 48183-2273

Phone

(734) 752-4353

Fax

(734) 671-9000

NPI assigned

Oct 16, 2017

Last updated

Oct 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Oakland College of Medicine and Surgery, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pathways 2 PLLCGroup PAC ID 2062646979, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Pathways 2 PLLC

  • Mental Health Counselor
  • Warren, MI
  • NPI 1417209057
  Medicare reassignment Care Compare group NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  MI

  Medicare reassignment NPD
• Foundations Detroit,LLC

  dba Skywood Outpatient-Grand Rapids

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grand Rapids, MI
  • NPI 1275355273
  NPD (past)
• Foundations Detroit,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Royal Oak, MI
  • NPI 1295182707
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1164933354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 ALLEN RD STE 400",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832273",
            "telephone_number": "734-752-4353",
            "fax_number": "734-671-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 ALLEN RD STE 400",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832273",
            "telephone_number": "734-752-4353",
            "fax_number": "734-671-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST AMOUR",
        "first_name": "DANIEL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704270061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Hardeep Singh, D.O.
• Michelle Ann Smith
• Jeffrey Solway, DPM
• South Allen Medical Group PLLC
• Nicole Danielle Spence, RN
• Renee St Louis, COTA/L
• Kaylee Stamper
• SVS Vision Inc
• Robyn Swanson, O.D.
• Conchita Tanhehco, M.D.

• Adult Health Nurse Practitioner in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.