Organization Active NPI

Melanated Hair Nation

  • Prosthetist
  • Redford, MI
National Provider Identifier
1396554440
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
MELANATED HAIR NATION
Practice address
11356 Wormer
Redford, MI 48239-1625
Phone
(313) 605-7033
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Ikeira Sealie
Title
Credentialing MGR
Phone
(360) 209-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

11356 Wormer
Redford, MI 48239-1625

Mailing address

11356 Wormer
Redford, MI 48239-1625
Phone (313) 605-7033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1396554440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11356 WORMER",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391625",
            "telephone_number": "313-605-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11356 WORMER",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391625",
            "telephone_number": "313-605-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANATED HAIR NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "SEALIE",
        "authorized_official_first_name": "IKEIRA",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "360-209-3440"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.