Individual provider Active NPI

Djanneta Billiu, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Detroit, MI
National Provider Identifier
1710663372
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
4704289768 Issued in MI
Practice address
6821 Medbury St
Detroit, MI 48211-3317
Phone
(313) 922-7777
Fax
(866) 287-5710
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 4704289768 MI Primary

Addresses

Primary practice location

6821 Medbury St
Detroit, MI 48211-3317

Mailing address

6821 Medbury St
Detroit, MI 48211-3317
Phone (313) 922-7777

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704289768MIMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health, Inc. CurrentSince Jul 2, 2023 Accepting new patients

Locations

6821 Medbury St
Detroit, MI 48211
Phone (313) 922-2222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1710663372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-7777",
            "fax_number": "866-287-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-7777",
            "fax_number": "866-287-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIU",
        "first_name": "DJANNETA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "4704289768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.