Individual provider Active NPI

Emily Neenu John

  • Registered Nurse
  • Detroit, MI
National Provider Identifier
1477416386
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704324489 Issued in MI
Practice address
1130 Parker St Apt 711
Detroit, MI 48214-3941
Phone
(313) 268-5068
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704324489 MI Primary

Addresses

Primary practice location

1130 Parker St Apt 711
Detroit, MI 48214-3941

Mailing address

1130 Parker St Apt 711
Detroit, MI 48214-3941
Phone (313) 268-5068

Other practice location 1

24725 W 12 Mile Rd Ste 202
Southfield, MI 48034-1801
Phone (313) 268-5068

Other names 1

  • Neenu John Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704324489MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1477416386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARKER ST APT 711",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143941",
            "telephone_number": "313-268-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PARKER ST APT 711",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143941",
            "telephone_number": "313-268-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24725 W 12 Mile Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341801",
            "country_code": "US",
            "telephone_number": "313-268-5068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "EMILY",
        "middle_name": "NEENU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704324489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEENU",
            "last_name": "JOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.