Individual provider Active NPI

Barbara J. Dalziel

  • Family Nurse Practitioner
  • Eastpointe, MI
National Provider Identifier
1366633588
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704174588 Issued in MI
Practice address
17200 E 10 Mile Rd
Eastpointe, MI 48021-3355
Phone
(586) 859-7455
Fax
(586) 859-7454
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 4704174588 MI Primary

Addresses

Primary practice location

17200 E 10 Mile Rd
Eastpointe, MI 48021-3355

Mailing address

17200 E 10 Mile Rd
Eastpointe, MI 48021-3355
Phone (586) 859-7455

Other names 1

  • Barbara J. Wooderson Other name

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
4704174588MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Care Health CurrentSince Mar 17, 2024 Accepting new patients
Allied Geriatric Services P.C. Past Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

Locations

17200 E 10 Mile Rd
Eastpointe, MI 48021
Phone (313) 731-2719

Interoperability endpoints

  • Direct secure messaging: barbaradalziel@epicpc.allscriptsdirect.net
  • Direct secure messaging: bdalziel826785@direct.hfhs.org
  • Direct secure messaging: bdalziel557416@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1366633588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "586-859-7455",
            "fax_number": "586-859-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "586-859-7455",
            "fax_number": "586-859-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZIEL",
        "first_name": "BARBARA",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704174588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "WOODERSON",
            "middle_name": "J.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.