Veronica Blaha Decker, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704126237 Issued in MI

Practice address

4673 Pier Dr
Troy, MI 48098-4180

Phone

(248) 521-0982

Fax

(248) 641-3064

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Cancer Counseling, L.L.C.

  • Adult Mental Health Clinic/Center
  • Troy, MI
  • NPI 1497913768
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1649437971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4673 PIER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984180",
            "telephone_number": "248-521-0982",
            "fax_number": "248-641-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4673 PIER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984180",
            "telephone_number": "248-521-0982",
            "fax_number": "248-641-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "VERONICA",
        "middle_name": "BLAHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704126237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Dean, MD
• Dearborn Physical Therapy LTD. (Advanced Physical Therapy)
• Deborah S Ruark MD PC
• Debra a. Glitz, M.D., P.L.L.C.
• Ronald Andrew Debusschere
• Angela Declerck-Appledorn
• Lisa Deconinck, MPT
• Sarah Marie Dedona
• Dee Davis Inc.
• Ahmad Deebajah

• Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.