Individual provider Active NPI

Helene June Krouse, NP

  • Adult Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1477836419
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704231937 Issued in MI
Practice address
5557 Cass Ave
Cohn 146
Detroit, MI 48202-3615
Phone
(313) 577-3911
Fax
(313) 577-9809
NPI assigned
Sep 26, 2011
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704231937 MI Primary

Addresses

Primary practice location

5557 Cass Ave
Cohn 146
Detroit, MI 48202-3615

Mailing address

5557 Cass Ave
Cohn 146
Detroit, MI 48202-3615
Phone (313) 577-3911

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704231937MIMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1477836419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 CASS AVE",
            "address_2": "COHN 146",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023615",
            "telephone_number": "313-577-3911",
            "fax_number": "313-577-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 CASS AVE",
            "address_2": "COHN 146",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023615",
            "telephone_number": "313-577-3911",
            "fax_number": "313-577-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUSE",
        "first_name": "HELENE",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704231937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2011; 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.