Chanelle Draper

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6802089266 Issued in MI

Practice address

35425 W Michigan Ave
Wayne, MI 48184-9800

Phone

(734) 329-6588

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1699409037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22304 GLENWOOD LN",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481835236",
            "telephone_number": "734-329-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35425 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481849800",
            "telephone_number": "734-329-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "CHANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6802089266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382849658",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonneshia Doss
• Douglas Fraser Vision Center
• Haider Dourra, DPM
• Annette Downey, MSA, LBSW, QIDP
• Doxicloud Physicians PLLC
• Sarah Marie Draper
• Lee Theodore Dreps, M.A., LLPC
• Carrie Driscoll, LLBSW
• Aya Dudar, MD
• Paula Sue Dudley, LPN

• Case Manager/Care Coordinator in Wayne, MI
• Providers in Wayne, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.