Khlood M Alasri
Individual provider Active NPI Family Nurse Practitioner · Dearborn Heights, MI
NPI 1558044636 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1558044636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704334502 (MI)
- Practice address
- 3902 Monroe St
Dearborn Heights, MI 48125-2545 - Phone
- (313) 562-1985
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- khlood.alasri.1@23214.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704334502 | MI | Yes |
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
Other providers in Dearborn Heights, MI
- Reem Alabbousi
- Leanna M Alaiwat
- Nahida Alakari
- Nouhad Alame
- Mohammed Alansary
- Haneen A Alatab
- Mohamed Alatooli
- Ali Albeketawi
- Katrina Aldridge
- Ola Aldulaimy
All providers in Dearborn Heights, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.