Active NPI
Barbara Anne Pettway
- Case Management Agency
- Detroit, MI
National Provider Identifier
1548611528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 1413 Field St
Detroit, MI 48214-2321 - Phone
- (313) 347-2070
- Fax
- (313) 579-1819
- NPI assigned
- Jun 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MI | Primary | |
| Early Intervention Provider Agency | 252Y00000X | MI |
Addresses
Primary practice location
1413 Field St
Detroit, MI 48214-2321
Mailing address
1413 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-15555827 | Medicaid | MI |
Other names 1
- Ms. Barbara Anne Pettway
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Well Being Services | Case Management | Past | Accepting new patients |
| All Well-Being Services | Case Management | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Detroit, MI
- NPI 1023353984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1548611528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-347-2070",
"fax_number": "313-579-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-347-2070",
"fax_number": "313-579-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTWAY",
"first_name": "BARBARA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-15555827",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "PETTWAY",
"middle_name": "ANNE",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}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 Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.