James Erick McKissic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

14436 E Jefferson Ave
Suite 201
Detroit, MI 48215-2925

Phone

(313) 933-3737

NPI assigned

Aug 9, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1598219404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14436 E JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152925",
            "telephone_number": "313-933-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14436 E JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152925",
            "telephone_number": "313-933-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSIC",
        "first_name": "JAMES",
        "middle_name": "ERICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon McKinney
• Chelsea McKinnon
• Gabriel McKinnon, LPN
• Mashavu Renee McKinstry, MA, LLPC
• Melissa McKissen, OTRL
• Kelly Kathleen McKissick, BS, LBSW
• Hadassah Sandra McKnight, ED.D
• Neikia Lanee McKnight, B.S.,
• Janice McLaren, REGISTER NURSE
• Laurie L McLarty, CRNA

• Durable Medical Equipment & Medical Supplies in Detroit, MI
• Providers in Detroit, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.