Active NPI
Audrey Allen
- Home Modifications Contractor
- Detroit, MI
National Provider Identifier
1508234626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- NONE
- Practice address
- 11724 Greenfield Rd
Detroit, MI 48227-4310 - Phone
- (313) 424-0064
- NPI assigned
- Sep 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NONE | Primary |
Addresses
Primary practice location
11724 Greenfield Rd
Detroit, MI 48227-4310
Mailing address
1632 Belvidere St
Detroit, MI 48214-3092
Phone (313) 821-8847
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441411200000",
"number": "1508234626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 BELVIDERE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143092",
"telephone_number": "313-821-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11724 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482274310",
"telephone_number": "313-424-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-05",
"last_updated": "2015-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": "NONE",
"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 5, 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.