Organization Active NPI

Henry Ford Health System

  • Adult Health Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1669547774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704113625 Issued in MI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1070732Henry Ford Medical Center Livonia29200 Schoolcraft Road, Livonia, MI 48150Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.