Cecilia Lucy Otten, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704200716 Issued in MI

Practice address

22401 Foster Winter Dr
Southfield, MI 48075-3724

Phone

(248) 423-5121

Fax

(248) 423-5125

NPI assigned

Jan 24, 2007

Last updated

Feb 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southfield Rehabilitation Company

  dba Surgeons Choice Medical Center

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1790785095
  Medicare reassignment NPD
• Southfield Rehabilitation Company

  dba Surgeons Choice Dearborn Center

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1285906792
  NPD
• Southfield Rehabilitation Company

  dba Surgeons Choice Imaging Center

  • Diagnostic Radiology Physician
  • Warren, MI
  • NPI 1477722585
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1649325044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 AUGUSTA DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091533",
            "telephone_number": "248-651-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-423-5121",
            "fax_number": "248-423-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "CECILIA",
        "middle_name": "LUCY",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704200716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osteoporosis Testing Centers Inc
• Luis Osterberger, M.D.
• Jodi Lynn Ostroskie, LLMSW
• Otr Rehabilitation, LCC
• Gary G Otsuji, MD
• Carolyn Ottney-Schweiss
• Quinn N Ousley
• Tamika S Outsey
• Oversight Health Management Inc
• Theresa Owusu-Ansah, NP

• Family Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.