Individual provider Active NPI

Sonya Ayoub, NP

  • Adult Health Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1487221560
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG03210082 Issued in MI
Practice address
29877 Telegraph Rd Ste L-112
Southfield, MI 48034-1332
Phone
(313) 588-0379
NPI assigned
Jun 8, 2021
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704327302 MI
Adult Health Nurse Practitioner 363LA2200X AG03210082 MI Primary

Addresses

Primary practice location

29877 Telegraph Rd Ste L-112
Southfield, MI 48034-1332

Mailing address

15635 Dasher Ave
Allen Park, MI 48101-2731
Phone (313) 588-0379

Other names 1

  • Sonya Sabrah 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
I20211115001559 MI Practitioner - Nurse Practitioner 4385033240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG03210082MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GLPS Staffing Solutions LLC CurrentSince Sep 17, 2021 Accepting new patients

Locations

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

29877 Telegraph Rd
Ste L-12
Southfield, MI 48034
Phone (248) 213-6222

29877 Telegraph Rd
Ste L112
Southfield, MI 48034
Phone (313) 588-0379

Interoperability endpoints

  • Direct secure messaging: sonya.ayoub.1@28492.direct.athenahealth.com

Organizations & group practices 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1487221560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 DASHER AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012731",
            "telephone_number": "313-588-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE L-112",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "313-588-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "SONYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704327302",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "AG03210082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "SABRAH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.