Individual provider Active NPI

Zienab Beydoun, FNP

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1417513243
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704312561 Issued in MI
Practice address
13320 W Warren Ave
Dearborn, MI 48126-1417
Phone
(313) 581-4450
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Family Nurse Practitioner 363LF0000X 4704312561 MI Primary

Addresses

Primary practice location

13320 W Warren Ave
Dearborn, MI 48126-1417

Mailing address

7501 Appoline St
Dearborn, MI 48126-1569
Phone (313) 530-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911000705 MI Practitioner - Nurse Practitioner 6406185834 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704312561MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Emergency Physicians, P.C. CurrentSince Aug 12, 2019 Accepting new patients
Mohamed Ayad, M.D., P.C. CurrentSince Jan 2, 2022 Accepting new patients
Detroit Medical Consultants PC CurrentSince Jul 23, 2022 Accepting new patients
Advanced Primary Care Clinics PLC CurrentSince Sep 1, 2025 Accepting new patients
Emergency Professionals of Michigan, P.C. CurrentSince Aug 15, 2019 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

13320 W Warren Ave
Dearborn, MI 48126
Phone (313) 423-5878

13320 W Warren Ave
Ste A
Dearborn, MI 48126
Phone (313) 581-4450

13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 8

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1417513243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 APPOLINE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261569",
            "telephone_number": "313-530-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261417",
            "telephone_number": "313-581-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "ZIENAB",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.