Active NPI
Khlood M Alasri
- Family Nurse Practitioner
- Dearborn Heights, MI
National Provider Identifier
1558044636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704334502
- Practice address
- 3902 Monroe St
Dearborn Heights, MI 48125-2545 - Phone
- (313) 562-1985
- NPI assigned
- Aug 7, 2023
- Last updated
- Apr 25, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704334502 | MI | Primary |
Addresses
Primary practice location
3902 Monroe St
Dearborn Heights, MI 48125-2545
Mailing address
3902 Monroe St
Dearborn Heights, MI 48125-2545
Phone (313) 562-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- khlood.alasri.1@23214.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1558044636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 MONROE ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481252545",
"telephone_number": "313-562-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 MONROE ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481252545",
"telephone_number": "313-562-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALASRI",
"first_name": "KHLOOD",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704334502",
"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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.