Active NPI
Satrise Tillman
- Community Health Worker
- Ferndale, MI
National Provider Identifier
1285212795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 429 Livernois St
Ferndale, MI 48220-2385 - Phone
- (313) 938-0857
- NPI assigned
- Mar 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
429 Livernois St
Ferndale, MI 48220-2385
Mailing address
429 Livernois St
Ferndale, MI 48220-2385
Phone (313) 938-0857
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | satrise.tillman@ruthelliscenter.org | ||
| Direct Messaging Address | stillman@matrixhs.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Human Services | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Detroit, MI
- NPI 1073924585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1285212795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 LIVERNOIS ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202385",
"telephone_number": "313-938-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 LIVERNOIS ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202385",
"telephone_number": "313-938-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "SATRISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "satrise.tillman@ruthelliscenter.org",
"affiliation": "N",
"address_1": "77 Victor St",
"city": "Highland Park",
"state": "MI",
"country_code": "US",
"postal_code": "482033127",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stillman@matrixhs.org",
"affiliation": "N",
"address_1": "429 Livernois St",
"city": "Ferndale",
"state": "MI",
"country_code": "US",
"postal_code": "482202385",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.