Individual provider Active NPI

Stacy Rose Muhsin, IBCLC

  • Lactation Consultant (Non-RN)
  • Detroit, MI
National Provider Identifier
1306521562
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-305940 Issued in MI
Practice address
15323 Mansfield St
Detroit, MI 48227-1902
Phone
(734) 494-0033
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X MI
Lactation Consultant (Non-RN) 174N00000X L-305940 MI Primary

Addresses

Primary practice location

15323 Mansfield St
Detroit, MI 48227-1902

Mailing address

15323 Mansfield St
Detroit, MI 48227-1902
Phone (734) 494-0033

Other names 1

  • Samirah Muhsin Other name

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

State licenses

LicenseStateTypeSpecialty
L-305940MIMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Aeroflow Connect LLC Lactation Consultant, Non-RN 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.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1306521562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15323 MANSFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271902",
            "telephone_number": "734-494-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15323 MANSFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271902",
            "telephone_number": "734-494-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHSIN",
        "first_name": "STACY",
        "middle_name": "ROSE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MI",
            "license": "L-305940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIRAH",
            "last_name": "MUHSIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.