Individual provider Active NPI

Sarah Kironde, N.P.

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1316372980
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4707240894 Issued in MI
Practice address
5003 Fernwood
Detroit, MI 48204
Phone
(313) 378-9567
Fax
(248) 970-8501
NPI assigned
Sep 13, 2013
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704240894 MI
Family Nurse Practitioner 363LF0000X 4707240894 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704240894 MI
Primary Care Nurse Practitioner 363LP2300X 4704240894 MI

Addresses

Primary practice location

5003 Fernwood
Detroit, MI 48204

Mailing address

23332 Farmington Rd # 216
Farmington Hills, MI 48336-9998
Phone (313) 378-9567

Other identifiers 1

IdentifierTypeStateIssuer
700E012740OtherMNBCBS GROUP PIN

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
I20140114001229 MI Practitioner - Nurse Practitioner 5597993733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2888 W Grand Blvd
Detroit, MI 48202-2612
Phone (313) 875-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4707240894MIMDFamily Nurse Practitioner
4704240894MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Plan Medical Centers CurrentSince Jan 4, 2016 Accepting new patients
Henry Ford Health System Nurse Practitioner CurrentSince Sep 20, 2014 Accepting new patients
The Wellness Plan Medical Centers CurrentSince Jan 4, 2016 Accepting new patients
Cisseriac Wellness Centre L.L.C Nurse Practitioner Current Accepting new patients
Cisseri Care Promotions LLC Family Current Accepting new patients
Cisseriac Assisted Living Care LLC CurrentSince Feb 18, 2024 Accepting new patients
Henry Ford Health System CurrentSince Sep 20, 2014 Accepting new patients
Pasa Wellness Centre Nurse Practitioner Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-4316

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

2888 W Grand Blvd
Detroit, MI 48202
Phone (313) 875-4200

4909 E Outer Dr
Detroit, MI 48234
Phone (313) 366-2000

21040 Greenfield Rd
Oak Park, MI 48237
Phone (248) 967-1888

46156 Woodward Ave
Ste B
Pontiac, MI 48342
Phone (248) 322-6747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

Organizations & group practices 9

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1316372980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23332 FARMINGTON RD # 216",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483369998",
            "telephone_number": "313-378-9567",
            "fax_number": "248-970-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 FERNWOOD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48204",
            "telephone_number": "313-378-9567",
            "fax_number": "248-970-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRONDE",
        "first_name": "SARAH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704240894",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4707240894",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704240894",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704240894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "700E012740",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.