Active NPI
Barbara J. Dalziel
- Family Nurse Practitioner
- Eastpointe, MI
National Provider Identifier
1366633588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704174588
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704174588 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Care Health | Current | 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
- barbaradalziel@epicpc.allscriptsdirect.net
- bdalziel826785@direct.hfhs.org
- 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.
-
- Health & Wellness Coach
- Eastpointe, MI
- NPI 1427820158
-
- Geriatric Medicine (Internal Medicine) Physician
- Birmingham, MI
- NPI 1821196551
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
-
- Adult Development & Aging Psychologist
- Maumee, OH
- NPI 1467492173
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.