Active NPI
Detrese Abbott
- Other Technician
- Harper Woods, MI
National Provider Identifier
1689076879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 20325 Lennon St
Harper Woods, MI 48225-1603 - Phone
- (586) 335-3332
- NPI assigned
- Sep 19, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
20325 Lennon St
Harper Woods, MI 48225-1603
Mailing address
20325 Lennon St
Harper Woods, MI 48225-1603
Phone (586) 335-3332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1689076879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20325 LENNON ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251603",
"telephone_number": "586-335-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 LENNON ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251603",
"telephone_number": "586-335-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "DETRESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.