Individual provider Active NPI

Alexandra Nahhas, FNP-BC

  • Family Nurse Practitioner
  • Canton, MI
National Provider Identifier
1336926542
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704397627 Issued in MI
Practice address
6850 N Haggerty Rd
Canton, MI 48187-3577
Phone
(734) 386-8000
Fax
(734) 386-8004
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704397627 MI Primary

Addresses

Primary practice location

6850 N Haggerty Rd
Canton, MI 48187-3577

Mailing address

6850 N Haggerty Rd
Canton, MI 48187-3577
Phone (734) 386-8000

Other practice location 1

2454 Monroe St Ste A
Dearborn, MI 48124-3038
Phone (313) 562-4100

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
I20240612002610 MI Practitioner - Nurse Practitioner 4385092394 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Danny Kewson M.D. P.C CurrentSince Jun 1, 2024 Accepting new patients
Danny Kewson M.D. P.C PastSince Jun 1, 2024 Accepting new patients

Locations

7330 N Canton Center Rd
Ste 109
Canton, MI 48187
Phone (734) 386-8000

6850 N Haggerty Rd
Canton, MI 48187
Phone (734) 386-8000

2454 Monroe St
Dearborn, MI 48124

2454 Monroe St
Ste A
Dearborn, MI 48124
Phone (313) 562-4100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1336926542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N HAGGERTY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873577",
            "telephone_number": "734-386-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N HAGGERTY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873577",
            "telephone_number": "734-386-8000",
            "fax_number": "734-386-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2454 Monroe St Ste A",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243038",
            "country_code": "US",
            "telephone_number": "313-562-4100",
            "fax_number": "313-562-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAHHAS",
        "first_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704397627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.