Individual provider Active NPI

Michele D Dupree-Murrain, RN,MSN

  • Registered Nurse
  • Detroit, MI
National Provider Identifier
1568750677
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704172686 Issued in MI
Practice address
1715 Chicago Blvd
Detroit, MI 48206-1777
Phone
(313) 729-7040
Fax
(313) 865-1937
NPI assigned
Jul 11, 2011
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704172686 MI Primary
Administrator Registered Nurse 163WA2000X 4704172686 MI

Addresses

Primary practice location

1715 Chicago Blvd
Detroit, MI 48206-1777

Mailing address

PO Box 44466
Detroit, MI 48244-0466
Phone (313) 729-7040

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704172686MIMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1568750677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44466",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440466",
            "telephone_number": "313-729-7040",
            "fax_number": "313-865-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 CHICAGO BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061777",
            "telephone_number": "313-729-7040",
            "fax_number": "313-865-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE-MURRAIN",
        "first_name": "MICHELE",
        "middle_name": "D",
        "credential": "RN,MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704172686",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704172686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2011; 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.