Individual provider Active NPI

Linda Ukomadu

  • Registered Nurse
  • Bloomfield Hills, MI
National Provider Identifier
1639676026
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704296401 Issued in MI
Practice address
7480 Saint Auburn Dr
Bloomfield Hills, MI 48301-3713
Phone
(313) 510-6386
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704296401 MI Primary

Addresses

Primary practice location

7480 Saint Auburn Dr
Bloomfield Hills, MI 48301-3713

Mailing address

7480 Saint Auburn Dr
Bloomfield Hills, MI 48301-3713
Phone (313) 510-6386

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

LicenseStateTypeSpecialty
4704296401MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1639676026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 SAINT AUBURN DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013713",
            "telephone_number": "313-510-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 SAINT AUBURN DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013713",
            "telephone_number": "313-510-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKOMADU",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704296401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.