Individual provider Active NPI

Bernadine Tuitt

  • Registered Nurse
  • Lathrup Village, MI
National Provider Identifier
1487034724
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704193320 Issued in MI
Practice address
18121 Coral Gables Ave
Lathrup Village, MI 48076-4501
Phone
(713) 918-9592
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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 4704193320 MI Primary

Addresses

Primary practice location

18121 Coral Gables Ave
Lathrup Village, MI 48076-4501

Mailing address

18121 Coral Gables Ave
Lathrup Village, MI 48076-4501
Phone (713) 918-9592

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
4704193320MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1487034724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18121 CORAL GABLES AVE",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764501",
            "telephone_number": "713-918-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 CORAL GABLES AVE",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764501",
            "telephone_number": "713-918-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUITT",
        "first_name": "BERNADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704193320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.