Active NPI
Faith Iloma
- Adult Psychiatric/Mental Health Registered Nurse
- Brownstown, MI
National Provider Identifier
1578292157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 4704246256
- Practice address
- 18060 Azalea Dr
Brownstown, MI 48173-8735 - Phone
- (313) 961-4890
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 4704246256 | MI | Primary |
Addresses
Primary practice location
18060 Azalea Dr
Brownstown, MI 48173-8735
Mailing address
18060 Azalea Dr
Brownstown, MI 48173-8735
Phone (734) 223-1340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704246256 | MI | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1578292157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18060 AZALEA DR",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "481738735",
"telephone_number": "734-223-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18060 AZALEA DR",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "481738735",
"telephone_number": "313-961-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILOMA",
"first_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MI",
"license": "4704246256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownstown, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.