Queen of Hearts

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

QUEEN OF HEARTS

Practice address

1431 Washington Blvd Apt 2306
Detroit, MI 48226-1728

Phone

(414) 630-0379

NPI assigned

Dec 10, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Nichole Degree, LPNNPI 1861734816

Title

LPN/Owner

Phone

(414) 630-0379

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nichole Angilic Degree, LPN

  • Licensed Practical Nurse
  • Detroit, MI
  • NPI 1861734816
  NPD Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1174094627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 WASHINGTON BLVD APT 2306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261728",
            "telephone_number": "414-630-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 WASHINGTON BLVD APT 2306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261728",
            "telephone_number": "414-630-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DEGREE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "LPN/OWNER",
        "authorized_official_telephone_number": "414-630-0379",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Qualls, CAC-1
• Yusef Qualls
• Daniel Quan, MD
• Ghufrana Quayoum, NP-C
• Kayla Felicia Quebral, MD
• Queen Teema's Loving Arms LLC
• Queen Teema's Loving Arms LLC
• Courtney Queisi, MS ED BCBA
• Quest Counseling Services
• Quick Moves Inc

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.