Chantay Amber Lee Nettles

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

4201 Saint Antoine St
Detroit, MI 48201-2153

Phone

(313) 966-8230

NPI assigned

Mar 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1720736580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 CHRISTINE TER",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713868",
            "telephone_number": "313-404-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-966-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "CHANTAY",
        "middle_name": "AMBER LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyetta Nicole Nesbitt, PHARM.D.
• Shannon B Nesbitt
• Barbara Neistadt Neshek, MD
• Dalia Sarah Nesimov, MD
• Nina Nestorowich
• Dorrean Michael Nettles, CERTIFICATE
• Network Marketing Group LLC
• Maria Neubauer
• Margaret Neumann, LMSW
• Shannon Star Neumann, NP

• Pharmacy Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.