Barbrene Latrese Mahluli, MSN, RN, NP, ANP-BC

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

4704251083 Issued in MI

Practice address

30395 Stellamar St
Beverly Hills, MI 48025-4930

Phone

(313) 673-8636

NPI assigned

Mar 3, 2014

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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.

• Integrated Care Clinicians, LLC

  dba Integrated Care Clinicans,LLC

  • Methadone Clinic
  • Pontiac, MI
  • NPI 1013558386
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1336564285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30395 STELLAMAR ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30395 STELLAMAR ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254930",
            "telephone_number": "313-673-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLULI",
        "first_name": "BARBRENE",
        "middle_name": "LATRESE",
        "credential": "MSN, RN, NP, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704251083",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "4704251083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Daniel Light, DC
• Arielle Lipman
• Victoria Loveless, MS, PA-C
• Christine Lyon, MA, LPC
• Thomas D Magnell, MD
• Mary Katherine Maier-Hyatt, C.R.N.A.
• Nicholaos George Makris, MD
• Marcy Cameron PLLC
• Laurea Marshall, MA, LPC
• Mas Counseling Services, PLLC (BH Therapy Group)

• Addiction (Substance Use Disorder) Registered Nurse in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.