Individual provider Active NPI

Uaye Juliet Abai, BSC, BSN, RN, FNP

  • Family Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1457460222
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704246909 Issued in MI
Practice address
6773 Stonebrige Court
West Bloomfield, MI 48322
Phone
(313) 330-0393
Fax
(248) 855-5543
NPI assigned
Aug 29, 2006
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704246909 MI Primary
Medical-Surgical Registered Nurse 163WM0705X 4704246909 MI

Addresses

Primary practice location

6773 Stonebrige Court
West Bloomfield, MI 48322

Mailing address

6773 Stonebridge CT
West Bloomfield, MI 48322-3268
Phone (313) 330-0393

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
I20200128001877 MI Practitioner - Nurse Practitioner 5193825883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

West Bloomfield, MI 48322
Phone (313) 330-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704246909MIMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie Home Health Care Services Inc. Current Accepting new patients
Renaissance Home Healthcare Services, Inc. CurrentSince Aug 19, 2010 Accepting new patients
Corecare Medical Services. CurrentSince Oct 29, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 4, 2023 Accepting new patients

Locations

30445 Northwestern Hwy
Ste 120
Farmington Hills, MI 48334
Phone (248) 855-5534

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 355-4719

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Renaissance Home Healthcare Services, Inc.Farmington Hills, MI, CCN 239140 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Aug 19, 2010
Aug 19, 2010
Aug 19, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1457460222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6773 STONEBRIDGE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223268",
            "telephone_number": "313-330-0393",
            "fax_number": "248-855-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6773 STONEBRIGE COURT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "313-330-0393",
            "fax_number": "248-855-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAI",
        "first_name": "UAYE",
        "middle_name": "JULIET",
        "name_prefix": "Mrs.",
        "credential": "BSC, BSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704246909",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MI",
            "license": "4704246909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.