Uptiv Health, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

UPTIV HEALTH, INC.

Practice address

36585 Warren Rd
Westland, MI 48185-2999

Phone

(734) 203-0176

Fax

(888) 373-5528

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Frankie Allen Dejesus

Title

Sr. Ops Director

Phone

(615) 430-7119

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1427755446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 EDMONDSON PIKE STE 162",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808",
            "telephone_number": "615-430-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36585 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852999",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 E Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831209",
            "country_code": "US",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPTIV HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "SR. OPS DIRECTOR",
        "authorized_official_telephone_number": "615-430-7119"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Westland, MI
• Providers in Westland, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.