Organization Active NPI

Seasons of Change

  • Infusion Therapy Registered Nurse
  • Southfield, MI
National Provider Identifier
1245014976
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
SEASONS OF CHANGE
Practice address
27200 Lahser Rd Ste 102
Southfield, MI 48034-2137
Phone
(248) 208-9215
Fax
(248) 208-9217
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Tessy C Jenkins, MD
Title
Owner
Phone
(248) 208-9215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

27200 Lahser Rd Ste 102
Southfield, MI 48034-2137

Mailing address

27200 Lahser Rd Ste 102
Southfield, MI 48034-2137
Phone (248) 208-9215

National Provider Directory

National Provider Directory

Locations

27200 Lahser Rd
Ste 102
Southfield, MI 48034
Phone (248) 208-9215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1245014976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137",
            "telephone_number": "248-208-9215",
            "fax_number": "248-208-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137",
            "telephone_number": "248-208-9215",
            "fax_number": "248-208-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TESSY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-208-9215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.