Active NPI
Deborah Jean Allison, NP
- Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704214086
- Practice address
- 1 Ford PL
Detroit, MI 48202 - Phone
- (313) 876-8319
- NPI assigned
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704214086 | MI | Primary |
Addresses
Primary practice location
1 Ford PL
Detroit, MI 48202
Mailing address
1 Ford PL
Detroit, MI 48202-3450
Phone (313) 876-8319
Other practice location 1
2050 N Haggerty Rd
Canton, MI 48187-3795
Phone (734) 981-1086
Other practice location 2
2050 N Haggerty Rd
Canton, MI 48187-3795
Phone (734) 981-1086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704214086 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Interoperability endpoints
- deborah.allison.1@19270.direct.athenahealth.com
- dallison254885@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
dba Henry Ford Health System
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1629313242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-876-8319",
"fax_number": "734-981-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FORD PL",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-876-8319"
}
],
"practiceLocations": [
{
"address_1": "2050 N Haggerty Rd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MI",
"postal_code": "481873795",
"country_code": "US",
"telephone_number": "734-981-1086",
"fax_number": "734-981-5094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 N Haggerty Rd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MI",
"postal_code": "481873795",
"country_code": "US",
"telephone_number": "734-981-1086",
"fax_number": "734-981-5094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLISON",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704214086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Allied Home Health Care and Nursing Services LLC (Allied Home Health and Hospice)
- Allied Home Health Care and Nursing Services, LLC
- Allied Homecare Helpers LLC
- Allied Hospice Care LLC
- Darlene Allison
- Lauren Elaine Alliston
- Amanda Marie Allmacher, DNP
- Ghassan Allo, MD
- Matthew Thomas Allos, DO
- Angel Allwood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.