Deena Hakim, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704382217 Issued in MI

Practice address

10984 Middlebelt Rd
Livonia, MI 48150-3058

Phone

(734) 762-0798

Fax

(734) 762-6682

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

Yes

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

University of Michigan Medical School, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SVC Dermatology PCGroup PAC ID 6800806050, 5 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 and National Provider Directory roles.

• SVC Dermatology PC

  • Dermatology Physician
  • Fenton, MI
  • NPI 1174565600
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1184449522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302729",
            "telephone_number": "810-629-9200",
            "fax_number": "810-629-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10984 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503058",
            "telephone_number": "734-762-0798",
            "fax_number": "734-762-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "DEENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704382217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Marie Haig
• Elese L Hairston, LMSW
• Michael Hairston, BEHAVIOR TECHNICIAN
• Rudy N. Hajji, DDS
• Sue Hakam, LMSW
• Mark John Halboth, DDS,PC
• Alexis Nicole Hall
• Amy Lynn Hall, PMHNP-BC
• Christal Hall
• Dajah Hall

• Nurse Practitioner in Livonia, MI
• Providers in Livonia, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.