Active NPI
Krista Joi Byrd, LLMSW
- Social Worker
- Oak Park, MI
National Provider Identifier
1689008922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801090900
- Practice address
- 23020 Gardner St
Oak Park, MI 48237-2453 - Phone
- (248) 730-2352
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801090900 | MI | Primary |
Addresses
Primary practice location
23020 Gardner St
Oak Park, MI 48237-2453
Mailing address
23020 Gardner St
Oak Park, MI 48237-2453
Phone (248) 730-2352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801090900 | Other | MI | SOCIAL WORK LICENSE |
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 |
|---|---|---|---|
| 6801090900 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1689008922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23020 GARDNER ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372453",
"telephone_number": "248-730-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23020 GARDNER ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372453",
"telephone_number": "248-730-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "KRISTA",
"middle_name": "JOI",
"name_prefix": "Ms.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801090900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "6801090900",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.