Individual provider Active NPI

Maraea Tutson, RN, CM

  • Case Management Registered Nurse
  • Dearborn, MI
National Provider Identifier
1215434956
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
20352073231 Issued in MI
Practice address
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone
(248) 595-0322
Fax
(248) 595-0322
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704310539 MI
Community Health Registered Nurse 163WC1500X 20352073231 MI
Continuing Education/Staff Development Registered Nurse 163WC1600X 20352073231 MI
Home Health Registered Nurse 163WH0200X 30352073231 MI
Infection Control Registered Nurse 163WI0600X 20352073231 MI
Pain Management Registered Nurse 163WP0000X 20352073231 MI
Pediatric Registered Nurse 163WP0200X 20352073231 MI
Health & Wellness Coach 171400000X 4704310539 MI
Attendant Care Provider 3747A0650X 20352073231 MI
Home Health Aide 374U00000X 4704310539 MI
Nurse's Aide 376K00000X 4704310539 MI
Case Management Registered Nurse 163WC0400X 20352073231 MI Primary

Addresses

Primary practice location

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Mailing address

2640 Collegewood St
Ypsilanti, MI 48197-1745
Phone (248) 595-0322

Other practice location 1

98 Russell Ct
Ypsilanti, MI 48198-5958
Phone (734) 217-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
20352073231MIMDCase Management Registered Nurse
30352073231MIMDHome Health Registered Nurse
4704310539MIMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Home Care LLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1215434956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 COLLEGEWOOD ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971745",
            "telephone_number": "248-595-0322",
            "fax_number": "248-595-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "248-595-0322",
            "fax_number": "248-595-0322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Russell Ct",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481985958",
            "country_code": "US",
            "telephone_number": "734-217-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTSON",
        "first_name": "MARAEA",
        "credential": "RN, CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704310539",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "20352073231",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MI",
            "license": "20352073231",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "30352073231",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MI",
            "license": "20352073231",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "MI",
            "license": "20352073231",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MI",
            "license": "20352073231",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MI",
            "license": "4704310539",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "MI",
            "license": "20352073231",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "4704310539",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "4704310539",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "20352073231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.