Necola Selena Table, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704250204 Issued in MI

Practice address

4909 E Outer Dr
Detroit, MI 48234-3446

Phone

(313) 366-2000

Fax

(313) 447-1582

NPI assigned

Oct 17, 2020

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

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Wellness Plan Medical Centers 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harper University Hospital Hospital, Detroit, MI, CCN 230104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Wellness Plan Medical Centers

  • Clinic/Center
  • Detroit, MI
  • NPI 1043373244

  MI

  Medicare reassignment Care Compare group NPD
• The Wellness Plan Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1235651381
  Care Compare group
• The Wellness Plan Medical Centers

  • Clinic/Center
  • Detroit, MI
  • NPI 1669632816
  Care Compare group
• The Wellness Plan Medical Centers

  • Clinic/Center
  • Oak Park, MI
  • NPI 1982863478
  Care Compare group
• The Wellness Plan Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, MI
  • NPI 1114420353
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1659970002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343446",
            "telephone_number": "313-366-2000",
            "fax_number": "313-447-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343446",
            "telephone_number": "313-366-2000",
            "fax_number": "313-447-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLE",
        "first_name": "NECOLA",
        "middle_name": "SELENA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704250204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Tabassum, M.D.
• Carl Tabb II, MD
• Enoch A Tabb
• Mahmoud Abdel Rahim Tabbal, M.D.
• Ross E Tabbey, M.D.
• Latifa Tabou, FNP-C
• Dhiraj Narayana Tadikamalla
• Ashley Mary Tadros, RN, BSN, DNP-AGACNP
• Quinton Jay Tafoya, PHARMD
• Shaun M Taft, LMSW

• All providers in Detroit, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.

Verify at the official NPI Registry.