Organization Active NPI

STT Medical PLLC

  • Family Nurse Practitioner
  • Dearborn Heights, MI
National Provider Identifier
1548925993
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
STT MEDICAL PLLC
Practice address
8565 N Silvery LN Ste 100
Dearborn Heights, MI 48127-4517
Phone
(313) 258-7335
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Stacey Terrell Taylor, MSN, APRN, FNP-CNPI 1063860914
Title
Owner
Phone
(313) 258-7335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8565 N Silvery LN Ste 100
Dearborn Heights, MI 48127-4517

Mailing address

6972 Solomon Ave
Troy, MI 48085-1290
Phone (313) 258-7335

National Provider Directory

National Provider Directory

Locations

8565 N Silvery Ln
Ste 100
Dearborn Heights, MI 48127
Phone (313) 258-7335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1548925993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6972 SOLOMON AVE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851290",
            "telephone_number": "313-258-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 N SILVERY LN STE 100",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274517",
            "telephone_number": "313-258-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-258-7335",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.