Active NPI
Erica Gholston
- Home Health Registered Nurse
- Detroit, MI
National Provider Identifier
1316630346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- G423234968167
- Practice address
- 11350 Whitehill St
Detroit, MI 48224-1653 - Phone
- (313) 281-1850
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | G423234968167 | MI | Primary |
Addresses
Primary practice location
11350 Whitehill St
Detroit, MI 48224-1653
Mailing address
11350 Whitehill St
Detroit, MI 48224-1653
Phone (313) 281-1850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9284216065 | Medicaid | MI | |
| 3132811850 | Other | MI | COMISSION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Erica3ischoosen@gmail.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G423234968167 | MI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1316630346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 WHITEHILL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241653",
"telephone_number": "313-281-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 WHITEHILL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241653",
"telephone_number": "313-281-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOLSTON",
"first_name": "ERICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "G423234968167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9284216065",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMISSION",
"identifier": "3132811850",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Erica3ischoosen@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11350 White hill",
"city": "Detroit Michigan",
"state": "MI",
"country_code": "US",
"postal_code": "48224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 May 26, 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.