Individual provider Active NPI

Julie Weiss, ANP-BC

  • Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1326441833
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704284608 Issued in MI
Practice address
22301 Foster Winter Dr
Second Floor
Southfield, MI 48075-3707
Phone
(248) 552-0620
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704284608 MI Primary

Addresses

Primary practice location

22301 Foster Winter Dr
Second Floor
Southfield, MI 48075-3707

Mailing address

22301 Foster Winter Dr FL 2
Southfield, MI 48075-3707
Phone (248) 229-4690

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
I20141209001045 MI Practitioner - Nurse Practitioner 2062734783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

22301 Foster Winter Dr 200 SE
Sjhmc Newland Medical Associates
Southfield, MI 48075-3707
Phone (248) 552-0620

22301 Foster Winter Dr 3Rd Floor
Sjhmc V K Malviya MD
Southfield, MI 48075-3707
Phone (248) 849-8140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Oct 4, 2014 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Ascension St John Hospital CurrentSince Oct 4, 2014 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients

Locations

31500 Telegraph Rd
Ste 225
Bingham Farms, MI 48025
Phone (248) 381-4600

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

1225 S Latson Rd
Ste 260
Howell, MI 48843
Phone (517) 541-4444

47601 Grand River Ave
Ste 2
Novi, MI 48374
Phone (248) 344-2000

44000 W Twelve Mile Rd
Ste 210
Novi, MI 48377
Phone (248) 347-8294

22301 Foster Winter Dr
Fl 3
Southfield, MI 48075
Phone (248) 849-8140

22301 Foster Winter Dr
Southfield, MI 48075
Phone (248) 849-3541

22301 Foster Winter Dr
Fl 2
Southfield, MI 48075
Phone (248) 562-0620

22301 Foster Winter Dr
Fl 2ND
Southfield, MI 48075

22301 Foster Winter Dr
Ste 200
Southfield, MI 48075
Phone (248) 424-3186

43134 Dequindre Rd
Ste 201
Sterling Heights, MI 48314
Phone (586) 739-1333

4000 Highland Rd
Ste 104
Waterford, MI 48328
Phone (248) 635-0367

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1326441833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DR FL 2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753707",
            "telephone_number": "248-229-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DR",
            "address_2": "SECOND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753707",
            "telephone_number": "248-552-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JULIE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704284608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.