Individual provider Active NPI

Chin Hwa Yi Dahlem, PHD, NP-C, RN

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1609957745
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704237494 Issued in MI
Practice address
312 W Huron St
Ann Arbor, MI 48103-4204
Phone
(734) 664-6050
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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 4704237494 MI Primary

Addresses

Primary practice location

312 W Huron St
Ann Arbor, MI 48103-4204

Mailing address

312 W Huron St
Ann Arbor, MI 48103-4204
Phone (734) 664-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1609957745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W HURON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034204",
            "telephone_number": "734-664-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W HURON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034204",
            "telephone_number": "734-664-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEM",
        "first_name": "CHIN HWA",
        "middle_name": "YI",
        "name_prefix": "Mrs.",
        "credential": "PHD, NP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.