Active NPI
Alexandrea Jade Garbus, CNM
- Advanced Practice Midwife
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM04202
- Practice address
- 4229 Cass Ave
Detroit, MI 48201-1709 - Phone
- (313) 831-7776
- Fax
- (734) 926-8987
- NPI assigned
- Jul 23, 2017
- Last updated
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM04202 | MI | Primary |
Addresses
Primary practice location
4229 Cass Ave
Detroit, MI 48201-1709
Mailing address
2260 Ellwood Ave
Berkley, MI 48072-3204
Phone (313) 330-4013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM04202 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Olma Specialty Services LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Iha Olma Specialty Services LLC | Current | Accepting new patients | |
| Henr Y Ford Health System | Advanced Practice Midwife | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Planned Parenthood of Michigan | Past | Accepting new patients | |
| Henry Ford Health System | Past | Accepting new patients | |
| Planned Parenthood of West & Northern Michigan, Inc. | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 647-5871
1750 S Telegraph Rd
Ste 108
Bloomfield Hills, MI 48302
Phone (248) 334-4505
1750 S Telegraph Rd
Ste 108A
Bloomfield Hills, MI 48302
Phone (248) 334-3213
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- agarbus2062913@direct.trinity-health.org
- agarbus421157@direct.hfhs.org
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba THIMG Obstetrics & Gynecology Bloomfield Hills
- Obstetrics & Gynecology Physician
- Bloomfield Township, MI
- NPI 1457949588
-
- Advanced Practice Midwife
- Detroit, MI
- NPI 1902982093
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Trinity Health IHA Medical Group Neurosurgery
- Neurological Surgery Physician
- Pontiac, MI
- NPI 1033899174
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
- Ambulatory Family Planning Facility
- Ann Arbor, MI
- NPI 1366525370
-
- Non-Surgical Family Planning Clinic/Center
- Petoskey, MI
- NPI 1699886218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1205359106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 ELLWOOD AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480723204",
"telephone_number": "313-330-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 CASS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011709",
"telephone_number": "313-831-7776",
"fax_number": "734-926-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBUS",
"first_name": "ALEXANDREA",
"middle_name": "JADE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-23",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "CNM04202",
"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 Feb 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.