Individual provider Active NPI

Mary Bojanic-Helenski

  • Adult Health Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1336599752
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704286882 Issued in MI
Practice address
15604 Farmington Rd
Livonia, MI 48154-2852
Phone
(734) 855-4176
Fax
(734) 855-4178
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704286882 MI Primary
Gerontology Nurse Practitioner 363LG0600X 4704286882 MI

Addresses

Primary practice location

15604 Farmington Rd
Livonia, MI 48154-2852

Mailing address

15604 Farmington Rd
Livonia, MI 48154-2852
Phone (734) 855-4176

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704286882MIMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mbojanichelenski759878@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1336599752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542852",
            "telephone_number": "734-855-4176",
            "fax_number": "734-855-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542852",
            "telephone_number": "734-855-4176",
            "fax_number": "734-855-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJANIC-HELENSKI",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704286882",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704286882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.