Individual provider Active NPI

Almeta M Andary, FNP

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1477987188
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704261320 Issued in MI
Practice address
11180 Gratiot Ave
Suite C
Detroit, MI 48213-1363
Phone
(313) 372-7111
Fax
(313) 372-5509
NPI assigned
Aug 29, 2013
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704261320 MI Primary

Addresses

Primary practice location

11180 Gratiot Ave
Suite C
Detroit, MI 48213-1363

Mailing address

22341 West Eight Mile Rd
Suite #4
Detroit, MI 48219
Phone (313) 421-6643

Other names 1

  • Ms. Almeta Myrtice Jackson Former name

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
I20140311000980 MI Practitioner - Nurse Practitioner 6204066343 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Family Health Care, P.C. CurrentSince Mar 7, 2016 Accepting new patients
Vpa PC CurrentSince Mar 21, 2023 Accepting new patients
Vpa PC CurrentSince Mar 21, 2023 Accepting new patients

Locations

11180 Gratiot Ave
Ste C
Detroit, MI 48213
Phone (313) 372-7111

12871 E Jefferson Ave
Detroit, MI 48215
Phone (313) 331-8484

7633 E Jefferson Ave
Ste 160
Detroit, MI 48214
Phone (313) 331-2727

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

28212 Franklin Rd
Southfield, MI 48034

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: amyrticeandary1092413@direct.hfhs.org

Organizations & group practices 3

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1477987188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22341 WEST EIGHT MILE RD",
            "address_2": "SUITE #4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48219",
            "telephone_number": "313-421-6643",
            "fax_number": "313-372-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 GRATIOT AVE",
            "address_2": "SUITE C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131363",
            "telephone_number": "313-372-7111",
            "fax_number": "313-372-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDARY",
        "first_name": "ALMETA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704261320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALMETA",
            "last_name": "JACKSON",
            "middle_name": "MYRTICE",
            "prefix": "MS.",
            "credential": "MSN, RN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.