Antholyn Floyed-Jackson

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

3111 Grand River Ave
Detroit, MI 48208-2962

Phone

(313) 557-8620

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1215696927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 BONSTELLE AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082962",
            "telephone_number": "313-557-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYED-JACKSON",
        "first_name": "ANTHOLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Denise Floyd
• Simone Janae Floyd, M.S
• Tanisha Floyd
• Victoria Floyd
• Zaina Floyd
• Christina Fluker, L.M.S.W, C.A.A.D.C
• Patricia Marie Fluker, R.N.
• Fiona Flynn, MSOT
• Lisa M Flynn, MD
• FNM Pak Inc (Six & hubbell Valero)

• Day Training/Habilitation Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Day Training/Habilitation Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.