Individual provider Active NPI

Muriel Ginan Sallee, RN, NP

  • Community Health Registered Nurse
  • Detroit, MI
National Provider Identifier
1609990407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
4704150565 Issued in MI
Practice address
5400 E 7 Mile Rd
Detroit Health Dept. - Northeast Health Center
Detroit, MI 48234-2461
Phone
(313) 852-4232
Fax
(313) 368-4694
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704150565 MI Primary

Addresses

Primary practice location

5400 E 7 Mile Rd
Detroit Health Dept. - Northeast Health Center
Detroit, MI 48234-2461

Mailing address

8093 Lark LN
Grand Blanc, MI 48439-7252
Phone (810) 655-5030

Other identifiers 1

IdentifierTypeStateIssuer
4601368MedicaidMI

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704150565MIMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609990407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8093 LARK LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397252",
            "telephone_number": "810-655-5030",
            "fax_number": "313-368-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 E 7 MILE RD",
            "address_2": "DETROIT HEALTH DEPT. - NORTHEAST HEALTH CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342461",
            "telephone_number": "313-852-4232",
            "fax_number": "313-368-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "MURIEL",
        "middle_name": "GINAN",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704150565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4601368",
            "state": "MI"
        }
    ],
    "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 8, 2007; 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.