Active NPI
Botsford General Hosptial
- Registered Dietitian
- Farmington Hills, MI
National Provider Identifier
1437301405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BOTSFORD GENERAL HOSPTIAL
- Practice address
- 28100 Grand River Ave
Suite 301
Farmington Hills, MI 48336-5967 - Phone
- (248) 477-6100
- NPI assigned
- Oct 21, 2008
- Organization subpart
- Yes
- Parent organization
- BOTSFORD HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley Willbrandt
- Title
- Director Shared Services
- Phone
- (947) 522-1911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
28100 Grand River Ave
Suite 301
Farmington Hills, MI 48336-5967
Mailing address
26901 Beaumont Blvd
Compliance
Southfield, MI 48033-4716
Phone (947) 522-1963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193400000X | Other | MI | PRIMARY TAXONOMY |
National Provider Directory
National Provider Directory- Part of
- ER Phys-Botsford Gen Ho
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Critical Access Hospital
- Farmington Hills, MI
- NPI 1831454222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1437301405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"address_2": "COMPLIANCE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334716",
"telephone_number": "947-522-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 GRAND RIVER AVE",
"address_2": "SUITE 301",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365967",
"telephone_number": "248-477-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTSFORD GENERAL HOSPTIAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOTSFORD HOSPITAL",
"enumeration_date": "2008-10-21",
"last_updated": "2020-11-03",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "WILLBRANDT",
"authorized_official_first_name": "LESLEY",
"authorized_official_title_or_position": "DIRECTOR SHARED SERVICES",
"authorized_official_telephone_number": "947-522-1911"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY TAXONOMY",
"identifier": "193400000X",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.