Individual provider Active NPI

Enas Musleh

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1518711654
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704360811 Issued in MI
Practice address
9925 Dix
Dearborn, MI 48120-1593
Phone
(313) 768-5057
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 4704360811 MI Primary

Addresses

Primary practice location

9925 Dix
Dearborn, MI 48120-1593

Mailing address

9925 Dix
Dearborn, MI 48120-1593
Phone (313) 768-5057

Other practice location 1

24680 Swanson Rd
Southfield, MI 48033-2415
Phone (248) 327-7597

Other practice location 2

28651 Hoover Rd
Warren, MI 48093-4105
Phone (586) 806-2051

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
4704360811MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1518711654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201593",
            "telephone_number": "313-768-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201593",
            "telephone_number": "313-768-5057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24680 Swanson Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332415",
            "country_code": "US",
            "telephone_number": "248-327-7597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28651 Hoover Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480934105",
            "country_code": "US",
            "telephone_number": "586-806-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSLEH",
        "first_name": "ENAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704360811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.