Individual provider Active NPI

Eucheria Mbata, NP

  • Family Nurse Practitioner
  • Ferndale, MI
National Provider Identifier
1285971655
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704233431 Issued in MI
Practice address
10800 West 8 Mile Rd
Ferndale, MI 48220
Phone
(248) 398-3200
NPI assigned
Jan 5, 2013
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704233431 MI Primary

Addresses

Primary practice location

10800 West 8 Mile Rd
Ferndale, MI 48220

Mailing address

PO Box 264
Taylor, MI 48180-0264

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address embata18389@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000393 MI Practitioner - Nurse Practitioner 3678713518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone (248) 398-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704233431MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Family CurrentSince Sep 4, 2016 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 9, 2024 Accepting new patients
Karalee Associates PC CurrentSince May 13, 2017 Accepting new patients
Henry Ford Health System CurrentSince Sep 4, 2016 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

10300 W 8 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3200

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

1308 S Main St
Plymouth, MI 48170
Phone (734) 451-3440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1285971655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481800264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 WEST 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "48220",
            "telephone_number": "248-398-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBATA",
        "first_name": "EUCHERIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-05",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704233431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "embata18389@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.