Active NPI
Maraea Tutson, RN, CM
- Case Management Registered Nurse
- Dearborn, MI
National Provider Identifier
1215434956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 20352073231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20352073231 | MI | MD | Case Management Registered Nurse |
| 30352073231 | MI | MD | Home Health Registered Nurse |
| 4704310539 | MI | MD | Health & Wellness Coach |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pristine Home Care LLC | Current | 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.
-
- Home Health Agency
- Dearborn, MI
- NPI 1821551425
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.