Next Level Up Health & Wellness Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NEXT LEVEL UP HEALTH & WELLNESS INC.

Doing business as

The Next Level Up Health & Wellness Inc.

Practice address

28423 Parkwood St
Inkster, MI 48141-1669

Phone

(313) 618-7561

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Chiffon E Murray

Title

Authorized Official

Phone

(313) 618-7561

Specialties & licenses 1

Addresses

Other names 1

• The Next Level Up Health & Wellness Inc. Doing business as

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1396289120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27436 AVONDALE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411787",
            "telephone_number": "734-664-4729",
            "fax_number": "734-895-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28423 PARKWOOD ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411669",
            "telephone_number": "313-618-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL UP HEALTH & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "CHIFFON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-618-7561"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Next Level Up Health & Wellness Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Inkster, MI
• Providers in Inkster, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.