Active NPI
Deandre Lavelle Hughes
- Driver
- Bay City, MI
National Provider Identifier
1669028569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- H220139488070
- Practice address
- 706 Patterson Ave
Bay City, MI 48706-4194 - Phone
- (989) 400-2583
- Fax
- (989) 956-5914
- NPI assigned
- Aug 15, 2019
- Last updated
- Aug 15, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | H220139488070 | MI | Primary |
Addresses
Primary practice location
706 Patterson Ave
Bay City, MI 48706-4194
Mailing address
706 Patterson Ave
Bay City, MI 48706-4194
Phone (989) 400-2583
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
| License | State | Type | Specialty |
|---|---|---|---|
| H220139488070 | MI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1669028569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 PATTERSON AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487064194",
"telephone_number": "989-400-2583",
"fax_number": "989-956-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 PATTERSON AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487064194",
"telephone_number": "989-400-2583",
"fax_number": "989-956-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "DEANDRE",
"middle_name": "LAVELLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "MI",
"license": "H220139488070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.