Active NPI
S Nadya Jaatoul-Kazzi, MD MPH
- Pediatrics Physician
- Detroit, MI
National Provider Identifier
1366489858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301046542
- Practice address
- Childrens Hospital Mi Neonatology
3901 Beaubien 2ND Floor - Main Building
Detroit, MI 48201 - Phone
- (313) 745-1436
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301046542 | MI | Primary |
Addresses
Primary practice location
Childrens Hospital Mi Neonatology
3901 Beaubien 2ND Floor - Main Building
Detroit, MI 48201
Mailing address
3800 Woodward Ave
Suite 702
Detroit, MI 48201-2061
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301046542 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1366489858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "SUITE 702",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDRENS HOSPITAL MI NEONATOLOGY",
"address_2": "3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAATOUL-KAZZI",
"first_name": "S NADYA",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301046542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.