Jonatha Nisan Nathan, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451023021 Issued in MI

Practice address

625 E Big Beaver Rd Ste 200
Troy, MI 48083-1434

Phone

(586) 863-4000

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hetal Patel, M.D. P.C.

  • Psychiatry Physician
  • Chesterfield, MI
  • NPI 1447672944
  NPD
• Henry Ford Health System

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1891702833
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1457113003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MAXWELL AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674606",
            "telephone_number": "917-406-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BIG BEAVER RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831434",
            "telephone_number": "586-863-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Maxwell Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480674606",
            "country_code": "US",
            "telephone_number": "917-406-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "JONATHA",
        "middle_name": "NISAN",
        "credential": "LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annapurna Narla
• Kendra Lynn Nash
• Nicole D Nasierowski, LPC
• Sam Nasser, MD
• Sita Nath, PT
• Andrew Nathanson, DO
• Rose Natheer, M.D.
• National Seating & Mobility Inc
• Nationwide Laboratories, LLC
• Alfredo Carlo Navarro-Toledo, P.A.

• Counselor in Troy, MI
• Providers in Troy, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.