Organization Active NPI

The Natural Momma Me Initiative

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1215422555
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE NATURAL MOMMA ME INITIATIVE
Practice address
11000 W McNichols Rd Ste 212
Detroit, MI 48221-2389
Phone
(313) 757-5427
NPI assigned
Jun 28, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Ms. Patrice Coates
Title
Billing Manager
Phone
(248) 219-9782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

11000 W McNichols Rd Ste 212
Detroit, MI 48221-2389

Mailing address

11000 W McNichols Rd Ste 212
Detroit, MI 48221-2389
Phone (313) 757-5427

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1215422555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 212",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212389",
            "telephone_number": "313-757-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 212",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212389",
            "telephone_number": "313-757-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NATURAL MOMMA ME INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-219-9782",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Jun 28, 2018; 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.