Individual provider Active NPI

Edith Ama, FNP

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1558835868
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11180802 Issued in MI
Practice address
10 Peterboro St
Detroit, MI 48201-2722
Phone
(313) 578-6123
Fax
(313) 309-1090
NPI assigned
Jan 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 Practitioner 363LF0000X F11180802 MI Primary

Addresses

Primary practice location

10 Peterboro St
Detroit, MI 48201-2722

Mailing address

10 Peterboro St
Detroit, MI 48201-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106000203 MI Practitioner - Nurse Practitioner 1254744568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Peterboro St
Detroit, MI 48201-2722
Phone (313) 831-3160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11180802MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Central City Community Mental Health Inc. CurrentSince Mar 10, 2024 Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Mar 10, 2024 Accepting new patients
Detroit Central City Community Mental Health, Inc. Past Accepting new patients

Locations

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

1240 3rd St
Detroit, MI 48226
Phone (313) 635-4213

10 Peterboro St
Fl 1
Detroit, MI 48201

Interoperability endpoints

  • Direct secure messaging: eama823774@direct.hfhs.org
  • Direct secure messaging: edith.ama.1@23845.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1558835868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "313-578-6123",
            "fax_number": "313-309-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMA",
        "first_name": "EDITH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F11180802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.