Active NPI
Henry Ford Health System
- Adult Health Nurse Practitioner
- Livonia, MI
National Provider Identifier
1669547774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704113625
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 29200 Schoolcraft Rd
Office 2264
Livonia, MI 48150-2228 - Phone
- (734) 523-8657
- Fax
- (734) 523-8667
- NPI assigned
- Nov 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Magdalena Maria Maxey, N.P. MSN APRN-C
- Title
- Cardiology Nurse Practitioner
- Phone
- (734) 523-8657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704113625 | MI | Primary |
Addresses
Primary practice location
29200 Schoolcraft Rd
Office 2264
Livonia, MI 48150-2228
Mailing address
8967 Lakeview Dr
White Lake, MI 48386-4143
Phone (734) 523-8657
Other names 1
- Henry Ford Medical Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1070732 | Henry Ford Medical Center Livonia | Certificate of waiver | Jul 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
29200 Schoolcraft Rd
Ofc 2264
Livonia, MI 48150
Phone (734) 523-8657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669547774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8967 LAKEVIEW DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483864143",
"telephone_number": "734-523-8657",
"fax_number": "734-523-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29200 SCHOOLCRAFT RD",
"address_2": "OFFICE 2264",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502228",
"telephone_number": "734-523-8657",
"fax_number": "734-523-8667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAXEY",
"authorized_official_first_name": "MAGDALENA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "CARDIOLOGY NURSE PRACTITIONER",
"authorized_official_telephone_number": "734-523-8657",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "N.P. MSN APRN-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704113625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Medical Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Livonia, MI
- Morgan Henderson
- Terry L Henley-Vogt, CMF
- Henry Ford Eastwood Behavioral Health (Eastwood Clinics)
- Henry Ford Health Eastwood Behavioral Health (Eastwood Clinics)
- Henry Ford Health System (Greenfield Health Systems)
- Henry Ford Health System (Henry Ford Medical Center Pharmacy)
- Henry Ford Health System (Henry Ford Health Products)
- Henry Ford Health System
- Nailah Henry
- David Herbert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.